IPACHTE#lQ�ycz3 Harnett County Department of Public Health 30057
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: lace Gb( �I- >S (Ia &,,o)ISSUED TO:� fs nQ15.s Qet�. I? ck, r SUBDIVISION u LOT #
NEW f� 10
REPAIR ❑ v EXPANSION ❑
Type of Structure: Ci (T h u1 M H 9 4,X(OGN
Proposed Wastewater System Type: �olS to (Ilea .,t_l-itJl.
Projected Daily Flow. :l�b GPD
Number of bedrooms: Number of Occupants: LIL max
Basement Dyes
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: es ❑ No ❑ May b Ired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public 0 Well Distance from well N(Ac feet
Permit conditions:
Permit valid for. Ive years
❑ No expiration
Authorized State Agent.: Date: C1SEE 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
squired 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: --TZ" ed De:S * Qese'? Mc)s PROPERTY LOCATION: 1a2 Ebfn.e n / P 9, (lace . 52 15isCi )
t
Facility Type: 96CL pLOrAV 4 Q-- ieww ❑ Expansion ❑ Repair
Basement? ❑ Yes El� o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Pvm G (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
PuMo4c`e (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size IC� gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size�7 gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of /8 inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Soil Cover. Ct inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: h. TDM vs. GPM n.v A inches below pipe
Aggregate Depth: Nd inches above pipe
Conditions: iiTtOME Vpg�p�,� SNett t (SE M.A&t0;V> o>-)5A,,;b/off NA inches total
C) L k-rf t � C r—
WATER LINES (IN(LUDING 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 swem type specified is different from the type specified on the app/ration. / acrept the Jpecih'catianr of this permit
Owner/Legal Representative
is subject to
or the intended use
Date:
not be transferred when there is a change in
lnn5cnnn 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: 4 Old
Construction Authorization Expiration Date:
HTE# 'R) `J _ 43`C!6 Permit # 3cx!:�6 :�'
Harnett County Department of Public Health
Site Sketch
00 PROPERTY LOCATON:aa L= by_ I a 3 I �jg.�.G�Q�_ S(L 1
ISSUED TO: yam'e'd k)P sb . RCWK6 SUBDIVISION LOT #
Authorized State Agent:
to, I\,o-" /
a{ fJ�o 2 Tfa t�
(LEf'cr•
N
Date:�I �e/o"lUl e
)� PUMQ 2F-GiulCL�`S�
?� 143o FT a 65 /,> n�� cm c> t-%
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s
LOLAcTIGtJ OF SEPTI t.
MEQ: U,uS t-t-� Pct.tvtL.
"rU .S, �S�cUr ticQl7�CL-��
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property 1D:
Lot #:
File #:
Code:
Owner: Applicant:!TuMt + ®Q`J erc;e_$
IZAMCLS
Address:" la Ebb., L„ Date Evaluated: �y
Proposed Facility: ay,�� Design Flow (.1949): 'c WD Property Size: ` a�e
Location of Site: MJt�- Property Recorded:Keo
Water Supply: ublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger mg ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineridogy
,1942
Soil
Wetness/
Color
.1943
Soil
Depth (17,1
.1956
Sapro
Class
.1944
Restr
Horiz
L q ,
r> a�
(,2
✓ter
P�
4-02,
4%at
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30
Description Initial Initial Re air System Other Factors (.1946): p
S stem Site Classification (.1948): vASv.4sA�I�ly ri7V\$Kinin lJ�.
Available Space(. 945 Evaluated By:
System Type(s) 516,26, deti Others Present:
Site LTAR