IPACHTE# IS s-N3�1 Harnett County Department of Public Health 2 9 9 1 l
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
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����� PROPERTY LOCATION: �vv. e� ('.cern In 2a� S2 la��,
ISSUED TO/ &C 611EM �12{YK.ry SUBDIVISION Lpi #�
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: i811 ay'X 3y' !S -P\->
Proposed Wastewater System Type: a6o3.
Projected Daily Flow: Q46 GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No 94a0y b red based n final location and elevations of facilities
Type of Water Supply: ❑ Community f f al�Well Distance from well 1 O(� feet CN t Q Permit valid for:
Permit conditions:
(9wFive years
❑ No expiration
Authorized State Agent:: /l . / / Date: 0.3 )1 L / oi61 t SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no wry 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 in revocation if the site plan, p4 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 comsmcdon and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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 T0: PROPERTY LOCATION: &_414e) ff_�Surc–NA Q--�. 654. IS56
SUBDIVISION LOT #
Facility Type: 5TZ,� hd'New ❑ Expansion ❑ Repair
Basement? ❑ Yes [;—o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** �h (Initial) Wastewater flow: GPD
(See note below, if applicable ❑)
2576
fr",-44bcon s,,3.Cm ^ (Repair)
fnstallation Requirements/Conditions
Number of trenches Q
Septic Tank Size 1 aX�v gallons
Exact length of each trench (a) feet
Pump Tank Size gallons
Trenches shall be installed on conto r at a
Maximum Trench Depth of 9 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs.
GPM
Conditions:
Trench Spacing: / Feet on Center
Soil Cover: I— inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
�a inches below pipe
Depth: dvA inches above pipe
iii- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / ondetrtand the ryttem type tpedifed it different from the type dpecded on the app/iration. / accept the rpetihtaiionr o/this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, pla4 or the intended u:e changes. The Conswnion Authorisation shall not be transferred when there is a change in ownership of the site. This
construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 0:3 1 G 1261$
At-3pctgE5v,) GJ Construction Authorization Expiration Date: 032(e) �
,0
HTE# U 3 4 4(o Permit # � 9 9 1
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: _�
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent ���_!�T/I� Date: G 3 I 16, I "6{6t L
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SO]L/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
fuck 1 0V
Owner: /La-- Applicant: GrvliC— 6�Ver--\G3/I�'je
Address. Date Evaluated: 1)
Proposed Facility: i(j2_ 5FnZ] Design Flow (.1949): c r(% CPQ
Location of Site:roperty Recorded: %r!S
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:
Act—
El Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
th(IN.
Depth (IN .
Sapro
Class
.1944
Restr
Horiz
urs N'I'VP
�5
3 .4
5u.
FVi SSSS
C,. �L
LgL:C
o N
42 vS
VY
ail -vv
OKL sw
Nrll;f
Bs
q(34.
e�-c
VC)
3S
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available S ace (.1945) Evaluated By:
System Type(s) 5 S Others Present: an 3
Site LTAR 0 35