IPACHTE# 0.1 Harnett County Department of Public Health 25671
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Is~,a GE." 9-0
ISSUED TO: L 2- C-1-AR-4 \r
No k-~
r•e 5 SUBDIVISION FACSo S e o 1 tS~ LOT #
NEWX REPAIR ❑ EJANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF9
Proposed Wastewater System Type: C.,0~+-4 6s rS~dntSa.~
Projected Daily Flow: 3 o O GPD
Number of bedrooms: 3 Number of Occupants: ~a max
Basement ❑Yes '?<No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well ti00 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: °S~a3\o°1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the a of other permits. The permit holde is respo ible 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 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: (6 SL_)- C- -ta2z~ Aor~S PROPERTY LOCATION: aCE," V-D
SUBDIVISION PRM0 N15 `Poles LOT # 9)
Facility Type: ~S`lrX New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System'' C_Q w14S_ '1iZ1' ta +.1 KL (Initial) Wastewater Flow: 366 GIRD
(See note below, if applicable
C.o.vv~.r4lL (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size l 60 (0 gallons Exact length of each trench `15 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. Aa-3.~ inches
Maximum Trench Depth of. QL'\-3 C 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 inches below pipe
Aggregate Depth: a inches above pipe
Conditions: WA~fsL~-ENE 'C1otr< Q a tEp'S'~C.. 15-\ srr\ inches total
M P~N F-N-Q-4) P,G.H C5 N 1H,-S w Ucz- '~-U a-\ Q_ ~.n Asa
`'If applicable: /understand the system type speciled is diNerent from the type speciled on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject anon if a 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 s sect to complia ions 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: T
nstruction Authorization Expiration Date: a
HTE# Permit #
Harnett County Department of Public Health
Site ketch
PROPERTY LOCATON: ~tiN~t<a Rs
ISSUED T0: SUBDIVISION PA'(SON poi r:~-N LOT #
Authorized State Agent: t6NN5 aL%VErt -SOLt~Pb2f~ Date:
,Z
5"
552 EA6L& p0-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOELJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot
File
Code:
Owner. Applicant:
Address: Date Evaluated: -1
Proposed Facility:3 3t:~~- Design Flow (.1949): 36b Property Size:
Location of Site: Property Recorded:
Water Supply: Public ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
I
1940
OIL. MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope X
Horizon
Depth
(In.)
.1941
Shmetura/
Texture
.1941
Consistence
Mimnlo
.1942
Soil
Wetness/
Cola
.1943
Soil
Depth (IN.)
.1956
SWO
CLss
.1944
Restr
Horiz
Proms
Class
& LTAR
1
`
d
G S
Vf2 mss` Ke
~
- ~
G ~
v Fn- ,.,5~ NQ
De.a;ption
Initial
S a1
Repair System
Other Factors (.1946):
Site Classification (.1948r S
Available Space .1945
Evaluated By:
System s
a*c
GoN
Others Present: -
Site LTAR