IPACHTE# )6-S-3%04 6 Harnett County Department of Public Health 28755
Improvement Permit
A building permit cannot be issued with only an ImprovementMit
PROPERTY LOCATION: 9�cxaa- Q.
ISSUED TO: VJ---G-Zy-t Cv MM\ t o (z' SUBDIVISION Qoes Mc (l.pt. LOT # 4
NEW REPAIR ❑ EX SIGN ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: sFoC�As x GCC
Proposed Wastewater System Typet a/r <J Vc'5tOaJ Ys'rbe,n
Projected Daily Flow: 3� in, GPD
Number of bedrooms: _L Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes 19,110 ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -54, Public ❑ Well Distance from well feet Permit valid for: five years
Permit conditions: ❑ No expiration
Authorized State Agent.: \ Qt I
The issuance of this permit by the Health Department in no way guarantees the o
site is subject to revocation if the site plan, plat, or the intended use changes. The Impn
the Laws and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Date:
SEE ATFACHED SITE SKETCH
other permits. The permit holder is res4onsible for checking with appropriate governing bodies in meeting their requirements. This
her Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The commission 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: KE ,r CV m s V 6L PROPERTY LOCATION: Q> .e K)2
SUBDIVISION Y—c,zas MctZA E d2P6 LOT # _JL-_
Facility Type: 5� (4415' �`t New 13 Expansion El Repair
Basement? ❑ Yes bk No Basement Fixtures? ❑ Yes "F� No
Type of Wastewater System" aS �� a �LGo vc tyN y5 Yf>M (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
-I. S` v c-< t V si Sy> (Repair)
Installation Requirements/(onditions Number of trenches �—
Septic Tank Size t Q)Q9 o gallons Exact length of each trench 175' feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: �O aG inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. '2" 121 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES IIN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
'"If applicable: / ondentand the ryutem type spedffed it different /rem the type rpecifed on the app/icadon / accept the rpedfcadonr at Ar permit
Owner/Legal Representati a Signature: Date:
This construction Authorization is subject to on if the site plan, plat, or the intended use changes. The construction Authorization shall not be transferred when there u a change in ownership of the site. This
construction Authorization is sub to eomplian i the f the laws and Aides for Sewage Treatment and Disposal and an the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Const ion Authorization Expiration Date: a y9 at
HTE# G6-5-3`bQtif-
ISSUED TO:
Authorized
Permit # ZT?SS
Harnett County Department of Public Health
Site Sketch
PROPFRTY inr&TON• Qb-.S 6"A—
z the W� G QQPP LOT # y
w
Date: zjatt� X4
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3gfl2t\ Design Flow (.1949): lCje�
Location of Site: Property Recorded:
Water Supply:(Public❑ Individual ❑Well
Evaluation Method ger Bo g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ 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
Minemlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth W.
.1956
Sapro
Class
.1944
Restr
Horiz
1
o a
0 i7
G
5�k
36
4M
31-LJO
�ZYSU_
VL s3he
i)
G s
y ^AvQ
-4te-
See-
v
3�
�r
Description Initial Repair System Other Factors (.1946):
S ,
Available Space (.1945) Evaluated By:G\
System Type(s) '- s Others Present:
Site LTAR Lr -1-N