IPAC RRHTE# IS-5-433%ea Harnett County Department of Public Health 29922
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
tt , PROPERTY LOCATION: l�y., i L C Zc-:Cie M•K (�_\
ISSUED TO: _1n)O_il A4 CJn �=��� SUBDIVISION L,.- � ! _a d LOT # 6 -
NEW
NEW f� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 30 n.. a5 `>(Sc ' „ti u `Z�
Proposed Wastewater System Type: 05%
Projected Daily Flow: 3w GPD
Number of bedrooms: —Number of Occupants: G max
Basement 0%Ca'lin—
Pump Required: []Yes ❑ No 9" ay be_required based on final location and elevations of facilities
Type of Water Supply: ❑ Community fq"Public ❑ Well Distance from well feet Permit valid for.wF a years
Permit conditions: ❑ No expiration
Authorized State Agenic �--� ��i i Date: U2'/c�cxx >T� 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 lave 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, .1952, .1954, .1955, .1956, .1957, .1956. 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: PROPERTY LOCATION: - Lc> L
SUBDIVISION I LOT # S
Facility Type: Spa, 25�u5'b' 'bwv_'> 0-�ew ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** �5 [T. c� r,r 5� s (c (Initial) Wastewater Flow: - 9C_e� GPD
(See note below, if applicable ❑)
5;is, (Repair)
Installation Requirements/Conditions Number of trenches q
Septic Tank Size ICr gallons Exact length of each trench - O feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: 24 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. TDM vs. GPM ".A, inches below pipe
Aggregate Depth: NA inches above pipe
Conditions: 0c -N Cc,z&-i)c a�/L 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 speciled is dilerent from the type speciled on the application. / accept the specilcationr o/ 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
Construction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and m the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: U3 /a3/�vtl3
Construction Authorization Expiration Date: 6>31R31,:Ka3
HTE# Permit# � 9 '7'?
Harnett County Department of Public Health
Site Sketch
J PROPERTY LOCATON: Lc� (1 r.o 4t r^ • Il lZ �,�
ISSUED TO: ���� N� wee e SUBDIVISION Lv4 a. LOT #
Authorized State Agent: _�� .J Date: 03/w-�3 Laol�
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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. Kei Applicant: \A3C(1`j;') r`��' — / /'
Address: Qjc�t.l%M((� (L� , tate Evaluated: C.1/66//P,
Proposed Facility: 36 iA..L Design Flow (.1949): '340( -'?D
Location of Site: Z etCA� Property Recorded: $16`J
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: Auger Bo ' ❑ Pit ❑ Cut
Type of Waste% Er Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ 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
& LTAR
.1941
Structure/
Texture
.1941
Consistence
MineralogyColor
.1942
Soil
Wetness/
.1943.1956
Soil
Depth (M.)
Sapro
Class
.1944
Rest/
Horiz
ala
14 70,
61'� 5�
r� s
LIS
311
4/v
c,-4
L2
4_
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qv{
L '4yo
o-36
G< LS
r2 P —
p5
30 (p
ayc 5CL
t=i f
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Description Initial Repair S Other Factors (.1946):
System Site Classification (.1948): Q(oJ:S-0(Lail1,2 Svcl
Available Space(. 1945) t Evaluated By: /� _ ` re C._,)t. C n / IK*5-
System Type(s) Others Present:
Site LTAR C, 3p.