IPACHTE# 1� 5 �3G$a Harnett County Department of Public Health 29937
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 91„'Si 1 h]l_ L: a
ISSUED TO C%0 1 UO &C6. L SUBDIVISION LOT #
NEW REP ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: aOrn 14yk43I -sl -T
Proposed Wastewater System Type: aS90 &6VC.iiiOn S,,$.
Projected Daily Flow: 90 GPD
Number of bedrooms: Q Number of Occupants: i;iL max
Basement []Yes �o
Pump Required: []Yes ❑ NoaLVIT ybe based on final location and elevations of facilities
Type of Water Supply: ❑ Community u Well Distance from well feet
Permit conditions:
Permit valid for.
nG31ive years
❑ No expiration
Authorized State Agent: I' o Date: d`11 l3 /;?ewaa _ 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 taws 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 permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: T(',�— (nnot- �rc-w5. �L_"_ PROPERTY LOCATION: q fa�( yci
SUBDIVISION LOT # l2
Facility Type: 96n- 4I '-"IS igj liNew ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Q 6 %a on 5, t Le-ry\ (Initial) Wastewater Flow: O?y O GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size gallons Exact length of each trench -_4<3 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover.(4— inches
Maximum Trench Depth of: P(e 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 t-41', inches below pipe
Aggregate Depth: ^yA inches above pipe
Conditions: do Die— n-(Ic;,e i5LAc ,)Ucnn NA 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: l understand the system W specified /i different from the type specified on the applicatioic l accept the speddycat/ons of this permit
Owner/legal Representative Signature: Date:
This construction Authorization it 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
Authorized State Agent:
t\ a S' Ci �� . i Cj 2.tis a_> Construction Authorization
and to the conditions of this permit
Date:
Date:
SEE ATTACHED SITE SKETCH
HTE# Permit # 9 7 3 '4
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: Ci toS l a�C. ( 'a
SUBDIVISION LOT #
4 Date: ay 1131 -woe
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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
Jx
Owner: M(pplicant: iii w1/e �� "`s
Address: 9(.51 'F(pJ tL� Date Evaluated:
Proposed Facility:1pesign Flow (.1949):
Locationpp Site: �pndi Recorded: t'J`
Water Supply: �C�I/��ublic❑ Individual ❑ Well
Evaluation Method: Auger ng ❑ Pit ❑ Cm
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 1.4 1 kc—
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
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minetalogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
System Type(s)
i5
Others Present:
A
p.3
-ad
g✓< 5c (
rt
20-q
�v- C-
(q s�
t
C)
3
L a YFi
o- s
(,a 5t,
wt 7416
Ps
Description
Initial_Repair
System
Other Factors (.1946):
System
Site Classification (.1948):
Available Space (. 1945)
11
Evaluated By:
System Type(s)
i5
Others Present:
Site LTAR
p.3