IPACHTE#Iii Harnett County Department of Public Health 29891
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
C -0.�C�' n PROPERTY CATION: S -CdQ (N cOico �� C,52 rS 3 t31
SUBDIVISION
ISSUED T0: 2h v LOT #
NEW ❑ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: i2 tSAz t�
Proposed Wastewater System Type: @62b rt�c t
Projected Daily flow: 4 > GPD
Number of bedrooms: �� Number of Occupants: max
Basement ❑Yes Ly'No
Pump Required: ❑Yes Ca Ro ❑ Mayulred based final location and elevations of facilities
Type of Water Supply: ❑ Community i ell Distance from well t C -NC.? feet CA IrJ� Permit valid for. 915ye�years
Permit conditions:
❑ No expiration
Authorized State Agent::Date: �G SEE ATTACHED SITE SKETCH
� � "'' �7i3
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it the site plan, plat, or the intended use changes. The Improvement permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .19S 0, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be immlled in accordana
with the ambched system layout
ISSUED TO: 6tck_4s Jrpm PROPERTY LOCATION: '56�_40 rAck\OL
SUBDIVISION LOT # 2
Facility Type: C ❑ New ❑ Expansion ❑ Repair
Basement? ❑ Yes to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** �% fLe awC1 6 L\ . 6 (." (Initial) Wastewater Flow: a 4k) GPD
(See note below, if applicable ❑)
015% aeA'3t=A n 5� � (Repair) 3P Cor en{ ono, S(Js. Per e,-,a5'.ble
Installation Requirements/Conditions Number of trenches 1 d o04�4_t
Septic Tank Size I CX -'C) gallons Exact length of each trench 5tn�, feet Trench Spacing: 9 Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. / e3 inches
Maximum Trench Depth of: 94 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs. _ GPM N•4 inches below pipe
Aggregate Depth: t. a to inches above pipe
Conditions: df\ Cn« �n �_C3r»c � 2 L� �'t (� 4 Lr (tell 'Ar•s Ps: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type roedfied is different from the type ryoedled on the app/iration. / accept the rperifirations o/this permit
Owner/Legal Representative Signature: Date:
This Censtutllnn Authorization is subject m revaation if the site plan, plat or the intended use changes. The tomtruction As initiation shall not be trenshrred when shat : a m,no..n ......�,;..r A. .:.. •.:.
o .... ...........e
Construction Aiiihorriamon is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: f� s/6 _d3 Date: ua /aG/eo/a
�a e V94-4� Construction Authorization Expiration Date: /'x' ;Z3
NTE# IS 6-43ZQ1
Permit # a li (6 91
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: D� �MabrA� SC 539)
ISSUED T0: ��o2t �o c-wnecy.p SUBDIVISION LOT #
Authorized State Agent: �� �y� Date:
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rANO6a-Y R.ok%--�;> (-Sti, X538)
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: aoi �
Address: (iso M'�7 b!y GCs\ - Date Evaluated: val a-iT I
Proposed Facility: Y 1/L 5�:� Design Flow (.1949): ZY0 6P
Location of Site:ww JJ ,�,� Property Recorded: Yi'
Water Supply: E ruolic❑ Individual ❑ Well
Evaluation Method: uger ng ❑ Pit ❑ Cut
Type of Wastewater: ILJ Sewage ❑ Industrial Process
Sheet
Property ID:
Lot #:
File #:
Code:
Property Size:,??. 3 -74 C
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)S[rucmre/
.1941
Texture
.1941
Consistence
Mineralo
1942
Soil
Wetness/
Color
.1943
Soil
D th (IN.)
.1956
Sapm
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
ori%
o-ae
Cv2 LS
l t'1
Ps
a�,
9L,SSP
7.5Y2�ft�o
�.
3
v-20
Gz- L
> 'j5X %'�Jq
PS
Other Factors (.1946):
Site Classification (.1948): �'t o ✓ �� s U Oa.1� S V ��,)o�
Evaluated By:
Others Present: .`(�
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