IPAC RRHTE# /1— S—LZ13"f IU Harnett County Department of Public Health 28649
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
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� / PROPERTY LOCATION: 7M Y
it -5'
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ISSUED TO- /(� /3-& * ti— SUBDIVISION 3 : w r
❑,..ave --r— LOT # qNEW Q REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: /;1.146 ✓n --t
Proposed Wastewater System Type: 25ttL
Projected Daily Flow: 3(e -m GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 13,10
Pump Required: ❑Yes ❑ No f3 Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Q Five years
Permit conditions: ❑ No expiration
Authorized StateA s1t G 6 Date: SEE ATTACHED SITE SKETCH
The issuance of this permit th/ ealth 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 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 previsions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The consm<ton and installation requirements of Russ .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
wish the attached system layout.
ISSUED TO: X CAA -f-1 . 4eA1e4J PROPERTY LOCATION: c5Y_./STq A�b
SUBDIVISION _CTt,) 1Nlr-s:Mtit1T LOT#�_
Facility Type: _e, k t, ) A,c IS New ❑l Expansion ❑ Repair
Basement? I]Yes Ef No Basement Fixtures? ❑ Yes E No
Type of Wastewater System**
(See note below, if applicable
TI n=ajo 4—n 128-�(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size Ibc> o gallons Exact length of each trench / oo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. ZZ ;/f inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: M. TDM vs. GPM
Conditions:
(Initial) Wastewater Flow: _ O GPD
Trench Spacing Feet on Center
Soil Cover: (� inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
G inches below pipe
Z inches above pipe
/ Z inches total
**If applicable: / understand the system type specified is different from the type specified on the app/icadan. / accept the specifications of this pem2it
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoation 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 Sew/age Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State rat:_ Date: f�
Construction Authorization Expiration Date:
HTE# 7/- '5-- Z"713`I RTZ Permit # 2AW1 e7
Harnett County Department of 1"ublic Health
Site Sketch
_ PROPERTY LO(ATON:�/S-�-/ ✓d�WSnJ /'Z,)ISSUED TO: /'(r G%t Ac(?_ /�C�3� SUBDIVISION : fr. Z�,JVC-5 %.,le—JTS LOT #
Authorized State
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Date:
/— -7
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: Tj7j,�
Address: Date Evaluated:
Proposed Facility:. Design Flow (.1949}_;�-�
Location of Site: / Property Recorded:
Water Supply: �, 0 Public❑ Individual ❑ Well
D
Evaluation Method: -huger Borinn E] pit
❑ Cut
Type of Wastewater: [I age E] Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
43
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Description Initial 1 Repair System Other Factors (.1946):
System Site Classification (.1948)x
Available S ace (.1945) Evaluated By?�
System Type(s)) Others Present:
Site LTAR 3 , ?