IPACHTE# 1 -5-3`1sa(!N Harnett County Department of Public Health 28931
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
c\i U � LL PROPERTY LOCATION: C ry � I . G �2-
ISSUED� qTO: i—�c SUBDIVISION 0i .,4 O J-5 LOT # 13
NEW X\ REPAIR 1 E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SAO l'�3'As 111
Proposed Wastewater System Type: �� mQ�o `i?ad�69+�
Projected Daily Flow:
Number of bedrooms: Ll Number of Occupants: Amax
Basement ❑Yes >K No
Pump Required: Yes El No El May be required based on final location and elevations of facilities
Type of Water upply: ❑ Community XPublic ❑ Well Distance from well 1 b feet
Permit conditions:
Permit valid for. Five years
❑ No expiration
Authorized State Agent: R �i Date: , d SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the a of other permits. the permit holde is respo ible for checking with appropriate gareming bodies in meeting [heir requirements. This
site is subject to revocation if the site plan, plat. or the intended use changes. The Imps""eSrnt Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws and Rules for Sewage Treatment and Disposal and to conditions of this pemiic.
Construction Authorization
Reauired for Building Permit
The construction and instillation requirements of Rules .1950, .1952, .1954, .1955, .1956..1957, .1958. and .1959 are incorporated by references inns this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: Gj I iUMGS LL r-. PROPERTY LOCATION: a w N 11 s IS Q n
SUBDIVISION C) Gmcy Y4 , LOT #
Facility Type: 5I; --9(53^"S 1 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" Q�n1P vyctd d S7stG,� (Initial) Wastewater Flow: `1$d GPD
(See note below, if applicable ❑) nn aw/
ASur�,q��o V-60 (Repair)
Installation Requirements/Conditions Number of trenches Li
Septic Tank Size l OO o gallons Exact length of each trench t 00 feet
Pump Tank Size T OG CJ gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. \'i inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TUN vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type specified on the applicadon / accept the spedfications of this permit.
Date:
This Construction Audnsiri to revaauon if the site plan, plat or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
construction Authoricatuf to romp r of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: — Dater 1 G
Cons ion Authorization Expiration Date: sc - 2N
HTE# -all't^A-QR Permit # a$�13 l
Harnett County Department of 1-�iblie Health
Site Sketch
PROPERTYLOEATON: 1�vHctNG
ISSUED TO: M� �o ^�S LL ( SUBDIVISION Oa�monT LOT # t3�
Authorized State Agent: 1' V�''VG2 mot Date: I I16
1N r
aV,riNC oo."vc
3S p
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:
Proposed Facility: Lt botLM Design Flow(. 1949):1-f2ZJe�
Location of Site: Property Recorded:
Water Supply: >rlublic❑ Individual ❑ Well
Evaluation Method:JC3-�u�ng El Pit ❑ Cut
Type of Wastewater: ewage ❑ 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
Restr
Horiz
G L5
N�l�v
dS
,fir,
'
C3 -
Description
Description Initial Repair System Other Factors (.1946): d
System Site Classification (.1948): C
Available Space( 1945) Evaluated By: GC
System Type(s)0-9 QL Others Present:
Site LTAR