IPACHTE# n �- `Z�` Harnett County Department of Public Health 29933
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
1 Su!✓o t'V1c0"nt. PROPERTY LOCATION: '1z, R-�LSR
ISSUED TO: ca ca; nP SUBDIVISION LOT
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: III 2 G.3 I X!,32 55��
Proposed Wastewater System ,,Type: Ro\.,r L[cIrn�a`
Projected Daily Flow: `F GPD
Number of bedrooms: �� Number of Occupants: max
Basement []Yes❑? No
Pump Required: ❑Yes ❑ No aLd`M y b Ired based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well pI feet Permit valid for.yeah
Permit conditions: ❑ No expiration
Authorized State Agent:Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ..uta ce of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revoation 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 an compliance with the provinces 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, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permitted shall be met Systems shall be installed in accordance
with the attached system layout
F'A�k 5o nhos�ircA>
ISSUED TO: silts r. 1fZncg r=, PROPERTY LOCATION: I'L(A 3 WCkc-agQ— (Ecdc l (a � s�
SUBDIVISION LOT #
Facility Type: 4G(L C -3`X53) St"a7 f� El Expansion El Repair
Basement? ❑ Yes o Basement c sFixturesq? �❑� Yes/' ❑ No
Type of Wastewater System" off% .r4,i-,t1 (Initial) Wastewater Flow: 9486 GPD
(See note below, if applicable ❑) %'PUMP
PIZOAp 244 � 92 _ S.< - (Repair) 22 tai
Installation Requirements/Conditions Number of trenches 1j5 c�
Septic Tank Size I';j ZC7 gallons Exact length of each trench ( r -in feet Trench Spacing: / Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover, / inches
Maximum Trench Depth of.. c9q�� 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: h. TDH vs. GPM inches below pipe
Aggregate Depth: ~a4 inches above pipe
Conditions: Cern Cr,n-}a,, -v— S>—(y-„c 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 srrtem type specified is diNevent from the type specified on the application. / accept the rpecificatiom 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 Conduction Authorization shall not be transferred when there is a change in ownership of she 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: c'yl Nl c7U!8
fonstruction Authorization Expiration Date: G �4 1I1 1 aol9
HTE# ig'S - 4 3`CIB Permit # ag9 % :�i3
Harnett County Department of Public Health
Site Sketch
T=:ci¢1 SinoM�v�<Rr� PROPERTYLOCATON: 1�rne, kC-,cf�N (U.�Srtaa1��
ISSUED T0: SUBDIVISION _ LOT #
Authorized State Agent:
o�lJtl��ol�
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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: Kpib—f4. qo"�ar /
Address: Iq`cn iW�tedk. Cant. (1-i _ Date Evaluated: 0,3
Proposed Facility: qiv & Design Flow (.1949):
Location of Site:ropRecorded:
Water Supply: ublic❑ Individual F1 well
Evaluation Method:[]ger Bon ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 1.35) AG
❑ 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
.1956
Sapro
Class
.1944
Restr
Horiz
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Description - - Initial epair Syst Other Factors (.1946):
System Site Classification (.1948): Qzr-ovt5t��t�J� Sv���j
Available Space (.1945) Evaluated By: t
System T s) •�RtL i? �Ll. Others Present: �f)a( - ���•��
Site LTAR