IPACHTE # Iy -'S-L4 38 1 Harnett County Department of Public Health 30060
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ] 4 G 3 Lc a rt-tvLe k �52 I e
ISSUED TO:i T� 0rY2K:d' 6-S SUBDIVISION LOT#
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: !36(L 60'znS--%
Proposed Wastewater System Type: o 6%
Projected Daily Flow: 3Lv GPD
Number of bedrooms: — 3 ber of Occupants: Cv max
Basement []YesL7 N0
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ Maplie llIl based on final location and elevations of facilities
Type of Water Supply: ❑ Community V Public ❑ Well Distance from well ave feet
Permit conditions:
Permit valid for: 4-rve years
❑ No expiration
Authorized State Agent:: ���� >� ��� Date: r:Z J;01d3 Jac>IR SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. 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
(Required for Building Permit)
The construction and installation requirement o1 Rules .1950, .1952, .1954, .1955, .1956, .1951, .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: PROPERTY LOCATION: IL4G3 Ley)( -,i 1, iSe 1�}a�
�� � SUBDIVISION LOT #
Facility Type: 302 5dvxc501� Lew ❑ Expansion ❑ Repair
Basement? ❑ Yes CRL1 o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ems, 'S�u dear'�tf--Ln n (Initial) Wastewater Flow: 3GIC)' GPD
(See note below, if applicable ❑)
Grck.` g- e6% 1112 . Sig •(Repair)
Installation Requirements/Conditions Number of trenches ffc�
Septic Tank Size LCCYJ gallons Exact length of each trench 46 feet Trench Spacing: / Feet on Center
Pump Tank Size gallons Trenches shall be installed on_Syontour at a Soil Cover: /i -X,7 inches
Maximum Trench Depth of. dy-4 /S 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: (t. TDM vs. GPM inches below pipe
Aggregate Depth: f1t 'A, inches above pipe
Conditions: E oi4.��� T t5 S N Ar u� J C 1 �rJ i MA ?' B2� (6f Uf l �� 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.
***Iapplicable: l understand the system type specified /r different from the type specified on the application / accept the specifications 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 contentment Authorization shall not be transferred when then is a change in ownership of the site. This
Unstucton Authorization t subject to compliance with the provisions of the Laws and Rules
-for Sew a Te Agit Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:y�I o�%3 1o?0f&
4�e.�pnti, gut t t� Construction Authorization Expiration Date: OS
HTE# `S -'5-43W9 Permit # '300clb
Harnett County Department of Public Health
ISSUED T0: 'Fd'T
Authorized State Agent
p, a 17Ma�
Site Sketch
PROPERTY LOEATON: 14(P3 Lo a to nc2 M . s2 , al
SUBDIVISION LOT #
Date:
P2o P o Si=d
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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: (1 t erc(_�
Address: (q(.3�Inc�r'[ll[L' 21 . Date Evaluated:
Proposed Facility: 'OJT � Design Flow 1.1949
Location of Site: Property Recorded: f
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: ager Bo ' ❑ Pit ❑ Cut
Type of Wastewater: ITSewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: C). q7 Ar
❑ 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
<AR
.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 Repair SystemOther Factors (.1946):
System Site Classification (.1948): unSC�l k
Available Space (.1945) Evaluated By:
System Te(s) o Others Present: C'`X�'n/ A�5f(6
Site LTAR 0.4 1 U.