IPACNTE# ��- s -U� Harnett County Department of Public Health 30054
Improvement Permit
A building permit cannot be issued with only an Improvement Permit `
PROPERTY LOCATION: 5k2ci';I T'l,Abn rl,�• i 52 ISIb
ISSUED T0:
LI SUBDIVISION
LOT #
NEW V REPAIR ❑
EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: (Li 561X
4-4 G I SFT
Proposed Wastewater System Type: 2b9/o
A" -LA cnt\ Sx s,
Projected Daily Flow: 3L(S
GPD
Number of bedrooms:
Number of Occu ants: � max
Basement ❑Yes o
Pump Required: ❑Yes ❑ No
ay quired based on final location and elevations of facilities
Type of Water Supply: ❑ Community
Public ❑ Well Distance from well
feet Permit valid for. Five years
Permit conditions:
❑ No expiration
Authorized State Agent•. C o/_ `� ate: G�5 16ct 1 %Old' 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 in 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
she 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, .1956. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system IayouL
ISSUED TO: Tc\. c In %Ac:a 6 , "-4— < PROPERTY LOCATION: 551
SUBDIVISION LOT # -S
Facility Type: 3e)tL- $S's Stdew ❑ Expansion ❑ Repair
Basement? ❑ Yes QIo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Sys, ✓tn"t.l.,2o r\- (Initial) Wastewater Flow: 3 G t, GPD
(See note below, if applicable ❑)
a57 tlLeA� lcla(\5�( —(Repair)
Installation Requirements/Conditions Number of trent es 4L
Septic Tank Size I QCT gallons Exact length of each trench gC�a feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: 7 Feet on Center
Soil Cover: /4:5 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
P, -.)A inches below pipe
Aggregate Depth: NJIet, inches above pipe
2<, aiAa L "k inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / underrtand the sptem type rpeciled /r different from the type rpetified on the application. / accept the rpecilcationr of thin permit.
Owner/legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: - Date: t>S I-&-
Gv21L I.s-� Construction Authorization Expiration Date: GG/Ur> /aZ023
HTE# ��U-s-�sti$ti Permit # 3c --,C>64 -
Harnett County Department of Public Health
Site Sketch
PROPERTY LOfATON: 5`F� Jc�.nsan 2� .CSC IStC
ISSUED T0: UBDIVISION LOT # sn
Authorized State gent Date:
AN
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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
e-
Owner:� .7)rb�Appp�' ant: �"� TLV"l WP -%A51
Address:L4354t�nlrTu. CLA— Date Evaluated: x/041 �
Proposed Facility: ?d�'_� Design Flow (.1949): iP�
Location of Site: Property Recorded:
Water Supply: ublic Individual ❑ Well
Evaluation Method: uger Bo F] pit F1 cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: I, Y `r c—
❑ Spring ❑ Othcr
❑ 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
Mineralo
.1942
Soil
Wetness/
Color
.1943.1956
Soil
De th (M.)
Sapro
Class
.1944
Restr
Horiz
t
L G_ (6y
W�4
ase
qM-
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): PI -O mss: �.nu;1� Svi-L-c-v�jl�
Available Space(. 1945) Evaluated By: ^ %
System Type(s) Others Present: C'-�fZ-rte ��t r i st t V16v
Site LTAR.