IPACHTE# 16_5 3� 1 ba Harnett County Department of Public Health 28759
Improvement Permit
A building permit cannot be issued with only an Improvement PFmmiut
PROPERTY LOCATION: OmN"4% 1,;f—
ISSUED TO:�SLS �jU�W1�C `N [i SUBDIVISION Ia.+GEn 90IVT(— LOT# s1
NEW REPAIIj ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:SCS 'jYr4�'5
Proposed Wastewater System Type: 2t,° — ,"tl.v-/Sf v+
Projected Daily Flow: 3C -Q> GPD
Number of bedrooms: 3 Number of Occupants: Cc max
Basement ❑Yes � o
Pump Required: ❑Yes ,No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'Public ❑ Well Distance from well VoO feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:��NA5 Date: 3 ) Z.) 16 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan other permits The permit holder is resdonsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocation if the site pian, plat, or the intended use changes. The Improveme Permit shall not be affected by a change in ownership of the site. This permit is subject m 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, .1951, .1954, .1955, .1956, .1951, .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: U 7 L0ly 6 raG PROPERTY LOCATION: 6th >. P' aJal "y L"
SUBDIVISION *� N ra C,r PtlT N 4E LOT #
Facility Type: `�� C5� "�5� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtur�ees? ❑Yes 'XNo
Type of Wastewater System" a S "� 0 1tC—.o v C.;\ U -J S -Js —� E-r4N (Initial) Wastewater Flow: 3C O GPD
(See note below, if applicable ❑)
QL..576Lo `{�
gyp• SCIS. (Repair)
Installation Requirements/Conditions Number of trenches i
Septic Tank Size t d tD Q gallons
Pump Tank Size gallons
Exact length of each trench 3h O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of inches
(Trench bottoms shall be level to +1-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: °A Feet on Center
Soil Cover: C, 'I inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified it different Imm the type spedted on the app/iradon. l accept the cpetiAmiionr of this permit
Construction
n the intended use changes. The construction Authorization shall not be barriers
Laws and Rules for Sewaee Treatment and Disomal and to the conditions of this
Date:
Authorized State Agent :7 Date: 3 - 1 b
Con ion Authorization Exuiration Date: -1 Q-
SEE ATTACHED SITE SKETCH
HTE# Permit # r)s�
Harnett County Department of INiblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: � Z�y` 0yC fi SUBDIVISIONS cG., PoxLOT#
Authorized State Agent: ��� `\\ ��a U(flLivf�L i v �Ks�p l5� Date: 3 1 3 )
-)y5
-IDV
G OC
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: \
Proposed Facility:=] 4..02 Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply:ublic❑ Individual El Well
Evaluation Method�ug . o g ❑Pit ❑cut
Type of Wastewater: wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
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
.1956
Sapro
Class
.1944
Rear
Horiz
IkLA
59�<-GTA
r -L 55hq,
es
1
0-
G L5
"PI "3)N{
A -1b6
S9lC 5LL
�5`5Q
t
Description Initial Repair System Other Factors (.1946):
Syste0i Site Classification (.1948): 9j
Available Space(. 1945) Evaluated By: QK
System Type(s) Others Present:
Site LTAR ' �"'