IPACHTE# d�' S TZ� Harnett County Department of Public Health 28753
Improvement Permit
A building permit cannot be issued with only an Improvement Permi,j{
PROPERTY LOCATION: N V (L6:L K D
ISSUED TO: n°S5 LoMCAvst obas SUBDIVISION — LOT #
NEW'k REPAIR Q PANSION ❑
Type of Structure: so
(,66 ><�6e
Proposed Wastewater System Type: aS' oovaCto N %5-S' ZJIN
Projected Daily Flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ElCommunity X Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: :: :\S\`lm.." Date: 11 S (I T1e SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the itsher permits. The permit holder a responsible for checking with appropriate gomming bodies in meeting their requirements. This
site is subject to revocation if the site Plan, plat or the intended use changes. The nt 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 instaiation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in acto(duce
with the attached system layout
ISSUED T0: M 055 `A 04ne45 U ILID ESIS PROPERTY LOCATION:
SUBDIVISION — LOT #
Facility Type: `'F��t �` ��`� X New ❑ Expansion ❑ Repair
Basement? ❑ Yes V No Basement Fixryrps? ❑ Yes J�qo
Type of Wastewater System** Q-S""(o 1L�gt c��t 0 sv S -'5�t-sy� (Initial) Wastewater Flow: 3�a GPD
(See note below, if applicable ❑)
Q's - 110 "_GD , SyS _ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size S o o O gallons Exact length of each trench l00 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth ofi Y inches
(Trench bottoms shall be level to +/•I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. G )1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING 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 syrtem type speaffed /s different from the type speufed on the app/irabom / arrept the Jpecif1wions of this permit.
Date:
This Constmcnon Authorization is subject to rev it the site plan, plat or the intended use changes. The Construction Audmruation shall net be transferred when there is a change in ownership of the site. This
Construction Authorization is subje mpliame the s 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: 2 TX 1 YL
Con 4alction Authorization Expiration Date: T: 1
HTE# 1
ISSUED TO:
Authorized State Agent:
Permit # a` 53
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: NvgStq t
SUBDIVISION — LOT #
Date:
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:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): 3bOcy
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Metho Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: JRSewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
0OTHER
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
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
A5
• 3
p5
13
2G -L10
1C Gt
Fn 555('
5
Description Initial Repair System Other Factors (.1946):
S stSite Classification (.1948):45
e
Available Space (.1945) Evaluated By:';Zzi�
System Type(s) 9..5 `� Others Present: —
Site LTAR