IPACHTE# 15 -5-43`Rq Harnett County Department of Public Health 29930
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Loo c we.\ 1 2A - rj2 aCc�
ISSUED T_0�� (V1v�� Qs\ �L
R&,SUBDIVISION LOT # F
NEW Laur REPAIR ❑ EXPANSION ❑
Type of Structure: 362 43'x 541 5K»
Proposed Wastewater System Type: ab% lT.eadvLf�UrR, d5..
Projected Daily Flow: GPD
Number of bedrooms: 3 _ Number of Occupants: G max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑Yes o
Pump Required: Dyes ❑ NoaC�] M y be r based on final location and elevations of facilities
Type of Water Supply: ❑ Community u❑ Well Distance from well N feet
Permit conditions:
Permit valid for:
neL4'F years
❑ No expiration
Authorized State Agent:: �������/�� Date: " 11'1 a3 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 .195D, .1952, .1954, .1955, AM, .1951, .1953. 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: Cft4 Mu( a (fO.'t\;b,�ry— PROPERTY LOCATION: l4ck-C-,tdfP� � • L`�tL aC-C
y SUBDIVISION LOT # /
facility Type: 302 `-13V64` 5F7T--�- B--ffe�w ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" a5`/c, fu .-w-4f���s L < � (Initial) Wastewater Flow: 3Ca� GPD
(See note below, if applicable ❑)) ll _'\
I i L- �{z�` 5 s (Repair)
Installation Requirements/Conditions Number of trenches _4-
Septic Tank Size I. fYYi gallons Exact length of each trench (o6 feet Trench Spacing: C Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. (� -'> /2 inches
Maximum Trench Depth of: y ---> 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: (t. TDH vs. GPM 4 -NA inches below pipe
Aggregate Depth: �A inches above pipe
Conditions: ��C �_� �� .\ t�'eSsCs'Q� tZ�,, r'A 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: / understand the system type sperifed /t diNecent from the type specified on the application. / accept the specifications 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 Authorication shall not be transferred when there u 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 to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: C''_J / fS
C.>(Z'sXi Eonstruction Authorization Expiration Date:
HTE# 6 - 436a% Permit #
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
PROPERTY LOEATON: 1-Ic sur l� fU �, S2 .?OcB�>
— SUBDIVISION LOT #
Authorized State Agent
Cr e-Qe--
Date: 0 3
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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: GfUi N)rtG —
Address: VkkrveA\ a.�.(eaaa/d�DateEvaluated: 051A Y
Proposed Facility:3�2.� Design Flow (.1949): 3W ��
Location of Site: Property Recorded: y!s
Water Supply:,,�� � ublic❑ Individual E] Well
Evaluation Method:L,�Auger BB ing El Pit ❑ Cut
Type of Wastewater. Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 1.124--c—
El
,1q A't/❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
minentlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
L y�
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ur2 y�
Ps
Na -yo
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): OCpvi5loActl� 5..�-tb1�,
Available Space(. F9-45) Evaluated By:
System T e(s) Others Present:""�� GNrr^i n� y3ls
Site LTAR 0,3S p.35