IPACHTE# Harnett County Department of Public Health 2873
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: W v T -vco S
ISSUED TO: NG -46;. 1 -yo MJ.'i SUBDIVISION Eyr=-ti ff Vi -e. eff 5 LOT # t
NEVK REPAIREXp61L6y�ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: E5VSD �� y�J3 /
Proposed Wastewater System Type: G0 ra-4ts—,0k o N A L—
Projected Daily Flow: 3GPD
Number of bedrooms Number of Occupants: Jr. max
Basement []Yes �WNo
Pump Required: []Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply:Community 'X Public ❑ Well Distance from well V 00` feet Permit valid for. five years
Permit conditions: ,at ❑ No expiration
Authorized State Agent: -1�1%
The issuance of this permit by the Health Department in no way guarantees tie issuam
site is subject to revocation if the site plan, plaS or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date:
SEE ATTACHED SITE SKETCH
permits. The permit holder is respdnsible for checking with appropriate governing bodies in meeting their requirements. This
tet shall not be affected by a change in ownership of the tiro. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The construction and inswllation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1956. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in acmrda u
with the attached system layout -
ISSUED TO: Ev 6-70rnQ.S PROPERTY LOCATION: '4aLL- LvcPs
SUBDIVISION Eve» to aP FLoNv F1t5 LOT #
Facility Type: 9 FO �3� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ` kNo
Type of Wastewater System" Cd"-4&N�1crNto%l (Initial) Wastewater Flow: 3C' d GPD
(See note below, if applicable ❑)
C--CyNy'EsSlUN A4 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1 o60 gallons Exact length of each trench '80 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 1'S`--IZ- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: ') Feet on Center
Soil Cover: G —1b 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
12. inches total
**If applicable: l understand the rystem type speci§ed it different from the type rpeciffed on the application. / accept the tper&radom of thin permit
Date:
This construction A 'an n subject to revocation if the 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 Authon:atio h avv o comp ce. " the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 90w 5 Date:
Constru ' Authorization Expiration Date:
HTE# I(v-5-3",(-2�DL
ISSUED TO:
Authorized State Agent:
Permit # )
Harnett County Department of Pablic Health
Site Sketch
PROPERTY LOCATON: W «i cps SSD
SUBDIVISIONErL-- Z �,aa-5 LOT # 1
fo ysJoSS ) Date:
"N)ZI_ LV GAS Q
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SfTE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility:3 �,OCVN Design Flow (.1949):�%C,
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ 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.)
SOH. MORPHOLOGY
.1941
OTHER
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
Site LTAR
-
o-4
b 5
ill sv 'uQ
04
G s
vrf-) �1NP
m
S41c s(L_
0'm-7)aR,�7
p5
Description
Initial Repair System
Other Factors (.1946): f)
Systepi
Site Classification (.1948):.,
Available Space(. 1945
Evaluated By: v
System Type(s)
G N '3 C' I
Others Present:
Site LTAR
-
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