IPACHTE# I-r525:lzai'11 Harnett County Department of Public Health 28797
Improvement Permit
A building permit cannot be issued with only an Improvement Pe it
v PROPERTY LOCATION: Rr�Gn—
ISSUED T0: T�n�`J S 1 W 1 t—c �6 SUBDIVISION LOT #
NEWW '' REPAIR ❑ EXPANSION ❑
Type of Structure: MAN . yit o arm k � )
Proposed Wastewater System Type:ume l� QSJ r V—QZjC7t Ud
Projected Daily Flow: 3r --o GPD
Number of bedrooms:.3 Number of Occupants: max
Basement ❑Yes "Wo
Site Improvements required prior to Construction Authorization Issuance:
S rs bm
Pump Required les ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '14 Public ❑ Well Distance from well M Q feet Permit valid for �X Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: 5 I'L 11b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the f other permits. The permit holder is responsible 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 Impre�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 .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 accordance
with the attached system layout. ys\ 1
ISSUED TO: 1"Q; 5'5 PROPERTY LOCATION:
((� SUBDIVISION LOT #
Facility Type: M P �� o�E `� New �9 Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Ply erg e )10 VLl v tl r t Sys (Initial) Wastewater Flow: 34D 6 GPD
(See note below, if applicable ❑) a
Q'i V -q \ w --Z� lU (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1 Drs n gallons Exact length of each trench c feet
Pump Tank Size o mac? gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 'q aLl inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TUN vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: 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 10FT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type speciled is different ham the type spedled on the application. / accept the specileaoons o/ this permit
Date:
This Construction Authismation is subject to r if the Ian, 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.iubuct to comoba uh the D f�tha Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent �TtiC3 Date:
Construct) uthorization Expiration Date:
NTE# Ir. "5--5150v) Permit # 2Q-)
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ROSSEO- 5 T1MAti1
ISSUED TO: N N L\e SUBDIVISION LOT # aA
Authorized State Agent: OC��S��l� 6t DoH �x� Date:
1 S--117 6rcl (,%0 W E, 1-1 69 S PpL-a
¢,eSsGL— 4 9�9
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: bd \
Proposed Facility: 't) gD(ui Design Flow (.1949):3 �P i
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method:�4uger o g ❑ Pit ❑ Cut
Type of Wastewater: qswage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
OOTHER
F
1
L
E
#
1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
1941
PROFH.E FACTORS
Profile
Class
& LTAR
.1941
Structural
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Rear
Hom
6 •�
SIC c',
�"Gl. � S�
'
lo�)cL"� z�
3
�
y
G sz
vFiL N3��
3b
5*Y C -L
'l 55)
Description Initial R it System Other Factors (.1946):
Syst Site Classification (.1948):
Available Space y Evaluated By:
System Type(s) p O -0 Others Present:
Site LTAR