IPACHTE# I S-s-43s:X Harnett County Department of Public Health 29931
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATION: 1 61s S> •
ISSUED T0:%Si Q,%I er c>0 Q k1c. SUBDIVISION LOT #
NEW Er REPAIR ❑ EXPANSION ❑ Site ImprovemenK required prior to Construction Authorization Issuance:
Type of Structure: 4 432 4O L x 5 Q 1 st`�
Proposed Wastewater System Type: X5`/0 rlr�l.at�s
Projected Daily flow: _<f[36 GPD
Number of bedrooms: �a�- Number of Occupants: 23 max
Basement ❑Yes 940
Pump Required: ❑Yes ❑ No ay b Ired based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet Permit valid for. 5-M eV n
Permit conditions: ❑ No expiration
Authorized State Agent: G oz' /!L2/ tf&:5� Date: C7. ? SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. The permit holder is res onsibk for checking with appropriate governing bodies in meeting their requirement. 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 requirement of Rules .1950, .1951, .1954, .1955, .1956, .1951, .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: f� 4z"", W', PROPERTY LOCATION: 1$5 Mcr cr, '-�rryv Jac- CVS (461 t".
SUBDIVISION Mvrt-a0'C:� m LOT #
FacilityType: 4Q -<L —40')< p -►p y� ❑ Expansion ❑ Repan
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" xp.nn :?,j4 -4e -r& (Initial) Wastewater Flow:tice�� GPD
(See note below, if applicable ❑)
25% (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size l d5C,) gallons Exact length of each trench J! C —X�> feet Trench Spacing: ?_ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. C_ inches
Maximum Trench Depth of: I cA inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: nr2 Ccx\kK>x— AUX ;4 ,,,\ �5�'r icr� Renu; N 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 / unde`trtand the ryrtem type rpeciled it different hom the type rpealed on the app/kation. /accept the rperilcalonr 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
Construction Authorization is
Authorized State Agent:
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: C�"3 ),-?b /Qo1e
Construction Authorization Expiration Date:
HTE# "5 - 455-gC, Permit # a c/ Cis1
Harnett County Department of Public Health
Site Sketch
PROPERTY LOGUON:_ I `vs Mor M
ISSUED TO: person (� i= SUBDIVISION mcg �r«c� LOT #
Authorized State Agent
Date: _ C`3 gp3�/>/r�
t aG,t
_y _
5 t=om
40, is,
I I I r0S.3
MU2 to4.-::> C->rLIVE
Pei
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: A plicam: 5/C�COLU� 03Ic�b �z L'%f
Address:5Date Evaluated: 05
ProposedFty/[
ef7Kgs )
Location of Site:�AugffBoi_,,--Property
Recorded:
Water Supply: dividual ❑ Well
Evaluation Meth❑Pit EI cut
Type of Wastewater: Er Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: (g.�
❑ 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN 3
.1956
Sapro
Class
.1944
Rear
Horiz
L y �i
C -dl
Wt Sf&
a4 -yo
3K Stv
<d_
�s
y(24-
z1b
a
>ya��v-
�sY
aro
OK
5
05
3Gt
C>= t —
3
L- y-}yc,
C.) -
l4 -35
3� 5cc
X2-5 PY
t'�
33+
e4
L y mak,
v-
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated
System TypeOthers Present: ArwO temc�x n
�
Site LTAR