IPACHTE#165 -�1% I Harnett County Department of Public Health 28902
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION O�VSLia l
ISSUED TO: S'TGN� JQ 6 %ornE �jvILOC" SUBDIVISION „0MZi Tr:ANOQ LOT # a
NEW REPAIR ❑ 1PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Str9(� "Sd
Proposed Wastewater Systemp�
_Type: �S"�b --DyersON
Projected Daily Flow: 3G GPD
Number of bedrooms: 3 Number of Occupants: 411L 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 1lbO feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: tk1 Date: G 16 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the in f other permits. The permit hol er is re onsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocations it the site plan, plat, or the intended use changes. The Improve ut 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 picnic.
Construction Authorization
(Required for Building Permit)
The construction 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: s ` �NPt< VQ£ "Uc^F- `QZ)V`2—sRGgS PROPERTY LOCATION: 0LZ
SUBDIVISIONTaornPas ri41NO2 LOT # Z
Facility Type: `�� LSA n x New ❑ Expansion ❑ Repair
Basement.? ❑ Yes 'IS� No Basement Fixtures? ❑ Yes
Type of Wastewater System** (4S 7o �kGavGv01 g 8m (Initial) Wastewater Flow: 3L0 GPD
(See note below, if applicable ❑) 2(1�,
"�
��%� F0 • Sy5 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size l ora d gallons Exact length of each trench `1 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. ZLd'3L inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: ) Feet on Center
Soil Cover. ti -;X�i inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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: / undevrtand the sorem type specified it different /ram the type specified on the app/icadon. / accept the tpecillcaoonr of this permit
Signature:
Date:
This Construction Authouation n to revocation it the site plan, plat or the intended use changes. The Construction Authoriution shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is suW§SLto amplian the')mgfsiww of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: may\ : � �- 9.6!15 Date:
Authorization Expiration Date:
HTE# 61
Permit # :195 61
Harnett County Department of Public Health
Site Sketch
p PROPERTY LOCATON: C> -1Z>
ISSUED TO: S„ , pn' � SME O L.C*3 SUBDIVISION Traor,ws 10fN Wbrt LOT #
Authorized State Agent: 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 2 \J
Proposed Facility: i3:� ^' Design Flow(. 1949): -.
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method.p Auger Boring El 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
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Rear
Horiz
V�
�j
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948)'" %
Available Space( 1945) \: Evaluated By:
System Type(s) - -� ,a '-c' Others Present: --
Site LTAR