IPACHTE# 125-5 AZ'; Harnett County Department of Public Health 30078
Improvement Permit
A• building permit cannot be issued with only an Improvement Permit
hh PROPERTY LOCATION: McU aunty GC'"I 1, • I.0 L5 rL ��,
ISSUED TO: L An9Pac, sera rL In SUBDIVISION LOT # 1445
NEW P"RIAPER O EXPANSION ❑
Type of Structure: Coda 7t 55' 3 8 2 5
Proposed Wastewater System Type: 0 6% �Is1 X 4M S rs.
Projected Daily flow: 366 GPD �7
Number of bedrooms: .35 3 umber of Occupants: Amax
Basement ❑Yes L
Pump Required: des ❑ No ❑ May b Iced based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well a-/10" het
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
Permit valid for.
nL�'F a years
❑ No expiration
Authorized State Agent:: 49r465' Date: 6i� /d6/ya/S 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 m 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 he installed in accordance
with the attached system layout
ISSUED TO: tDa jr d L At,6P \6. SCsmkk PROPERTY LOCATION: 3gWil AAC'0ecaf\GhcAre 1 6b9 Q4.(5R
SUBDIVISION LOT # /
Facility Type: (o6tx55' 302 5 t't-� 9-111—ew-�❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" A:�Icmn 4-r-1 9612C 54S . (Initial) Wastewater Flow: 3La GPD
(See note below, if applicable ❑i,
6X0 iUst -'Y.5.(Repair)
Installation Requirements/Conditions t Number of trenches & q
Septic Tank Size 1000 gallons Exact length of each trench (--c�) feet Trench Spacing: / Feet on Center
Pump Tank Size f (-Gb gallons Trenches shall be installed on contour at a Soil Cover: /9 inches
Maximum Trench Depth of: 944 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 N� inches below pipe
Aggregate Depth: IQ A inches above pipe
p
Conditions: (Powe r c)n C nAixs �3 goX Cv�lry" a✓4 inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the syrtem type rpeciled is different from the type spealed on the app/icatiom / accept the speciflrations of this permit.
Owner/Legal Representative Signature: Date:
This formation Authorization is subject to revocation if the sire 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: vG ca�/8
Jace�S�(t,�f� cx—� CAA wJ construction Authorization Expiration Date:
HTE# t 9) -S-g4otaa Permit # 3cc>q�
Harnett County Department of Public Health
Site Sketch
pp PROPERTY LOCATON: 'St3. 9� f4L4-14c n GMwni� Gh • I
ISSUED TO: z>ay�Oe Ama,\-n, 5cnd-ln SUBDIVISION LOT # /y6
�� _
Authorized State Agent:
p—
C
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313ti s�-�
(e <31 x 66,
Pump �
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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: Dcw;,1 Q-" SMI`cy\�/
Address:'�/'a ACCAeti 0), Xti Efate Evaluated:
Proposed Facility: 3�� Design Flow (.1949):
Location of Site:operty Recorded: i� i
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: Augoring El Pit E] cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ 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 (M J
.1956
Sapro
Class
.1944
Restr
Horiz
5 2 ,moi
'LL{
t'2 55y
-7 z0 I,
,G,�
LC,o
63�
G2 �s
✓oiNS�f�
�S
-
9
L (e7o
049
t_�,vt;,-�-W
7r
Um
10
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C4 Ls
>r,042, ,
Q5
Description Initial air System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space(.] 945) Evaluated By: L� ,
System Type(s) Others Present:
Site LTAR