IPACHTE#2,-5-4� Harnett County Department of Public Health 2 9 91
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
t� PROPERTY LOCATION: 6c3`c5)
ISSUED TO: v G CW'(AeAQ' SUvrbrcQSS SUBDIVISION LOT # c8
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: : OCL S4 ax( a- s cit 17
Proposed Wastewater System Type: a52/c
Projected Daily Flow: 3CtzQ GPD
Number of bedrooms: �3 Number of Occupants: _)max
Basement Dyes ii2
Pump Required: ❑Yes ❑ NoaLN'M y be r, based on final location and elevations of facilities
Type of Water Supply: ❑ Community Ld�Publlc ❑ Well Distance from well feet Permit valid for.IvLA'i a years
Permit conditions: ❑ No expiration
Authorized State Agent:: C� C Date: 03 /oPs I a6ff4> SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if 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 to conditions of this permit.
Construction Authorization
Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .IM, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: Mnx=5 PROPERTY LOCATION: ('Ack�nf� t-oc.d ( ec>cL 1S38i
SUBDIVISION Cess+r. t LOT # S
Facility Type: 313 C1. ScJ t xGL s S=am P -11i ❑ Expansion ❑ Repair
Basement? ❑ Yes 9--F o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** �55jr, (Zes\ t 'ten 4 SN1 (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Q6% '(-Aco l-\ ---? , s _ (Repair)
Installation Requirements/Conditions Number of trenches V
Septic Tank Size t 00o gallons Exact length of each trench FO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of-./-) inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: / Feet on Center
Soil (over: C,' inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
" inches below pipe
Aggregate Depth: Qp— inches above pipe
N Pc inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 specffred it different from the type specified on the application / accept the specifnationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
t.onstructmn Authorization 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: �,G�.�r✓ Date: 03IcG1 x018
c.v cult N,) Construction Authorization Expiration Date: o3 /00)3
NTE# ��' ^ � -4-,5344 Permit # -d C49 11
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: _Sc 1S6e>
ISSUED TO: _��y c� d ckm-L-12 S,>rnnceSS SUBDIVISION LOT # Tf a
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Authorized State Agent: ��� _� Date: 03 l � 1 aa)
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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: t/ekvi4 'r- CAVZ14 ,
Address: ftp 6 C44 --O 10142, Date Evaluated: Oc3%O�rl�j
Proposed Facility:3 sDesign Flow (.1949): (pQV
ib
Location of Site: Property Recorded: Kr7
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: er Bo ' ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 7 6 (j AU
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
L 341
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vrLOXIry
3
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Description Initial Repair System Other Factors (.1946):
System Site Classification(.1948):Qrovi's ian`ly 5Vr'6116/2
Space (. 1945) Evaluated By:
System T
e(s) SC Others Present:
Site LTAR p b,