IPACNTE# IS -'5436`19 Harnett County Department of Public Health 30051
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATI N•��
v
LOCATION:
MGNO"A �c.fM5 ( qO f tj�,)
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ISSUED TO: 2n►eaSVr\
(3 IALyi �t,C SUBDIVISION 'M r
_rte cr' V LOT#
NEW �
REPAIR 0
EXPANSION ❑ Site Improv
ents required prior to Construction Authorization Issuance: T
Type of Structure:
49 2 t.S3,`
,l s
Proposed Wastewater
System Tyype:
;M,96 RcZt c E;c S,e,
Projected Daily Flow:
V18 C>
GPD
Number of bedrooms:
Number of Occupants: max
Basement ❑Yes
,�
L�No
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
ay M y b Ired based on final location and elevations of facilities �
Public ❑ Well Distance from well feet Permit valid for.. I�years
Permit conditions:
❑ No expiration
Authorized State Agent:: �� -r' ��� " Date: e35 /C>R / a r -)Q 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 it 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 proyisiom 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 permit and shall be met. Systems shall be instilled in accordance
with the attached system layout.
ISSUED TO: S Le-plspnha A,,s k1� ZtTC PROPERTY LOCATION: 033
SUBDIVISION Nota n Fig LOT # 11
Facility Type: 6q- (- aala'1e t .5� 2 New ❑ Expansion ❑ Repasr
Basement? ❑ Yes C -F o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" aS o x C,n n 5, (Initial) Wastewater Flow: rf4jd GPD
(See note below, if applicable ❑)
36X /leA,LL-pe� 5 s0-!rm (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size l a,SQ gallons Exact length of each trench 100 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. �— inches
Maximum Trench Depth of: a 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. TDH vs. GPM ti'ti inches below pipe
gate Depth: t s d ruches above pipe
Conditions: �n Ls�a�-�y,�i �-6�� � v L Di.�-117uEiC>n �Q,e�•1-1Z. 5�/� 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 ryrtem type tpeciled it different from the type rpeailed an the app/nation. / accept the rperihtatianr o/thiirpermit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject m revocation if the site plan, plat, or the mounted use changes. The Construction Authorization shall not be tnostermd when there is a change in ownership of the site. This
s.ommucnpn Aumonzanon is soblect 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;vSlosl
dl.�oatfr—a+� c..,.,axL t.> Construction Authorization Expiration Date: _Q6Je>9, I acru
HTE# j V],-5—y3`�,L0
Permit # 3dC>6 1
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
q0I tv�
ISSUED T0:
Qesb c- SUBDIVISION�y�p
1:: -at -m LOT # 1_
Authorized State Agent:
% —
Date: OS C>(;" ? /
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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: !6teiA +,art 6)
Address: LO6 11 OkOV^ 1`o fi^Wate Evaluated: T j P,
Proposed Facility: y ( � 5t Design Flow (.1949)• 1/00 Gt�>
Location of Site: Property Recorded: iii
Water Supply: uhlic❑ Individual ❑ Well
Evaluation Method: Augerr ' 9 ❑ Pit El Cut
Type of Wastewater: � Sewage ❑ Industrial Process
Sheet:
Property 1D:
Lot #:
File #:
Code:
Property Size: G o 4-4 • r—
❑ 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 InitialOther Factors (.1946):
Repair Syste
system Site Classification (.1948): ProN"S trSiP`r+'xy�
Available Space .1945) Evaluated [� 1 /n
__System T e(s) ,� u Others Present: It7t0 v—+ ,
Site LTAR