IPACHTE# {G-5=5`VI40 Harnett County Department of Public Health 29034
Improvement Permit
A building permit cannot be issued with only an Improvemen ermlt
v _ — , \ PROPERTY LOCATIO : OOC
ISSUED T0: �G t 1 sU t5 �l C. SUBDIVISION 8P-t�O ,.t , LOT # SbD
NEW REPAIR PANSION 11Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5'�Z
Proposed Wastewater System Type: 25` o C A v s6,r-)
Projected Daily Flow: L-`f`b GPD
Number of bedrooms: l; Number of Occupants: 9. max
Basement ❑YesNo
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
El`�
Type of Water Supply: ❑ Community A Public Well Distance from well �n,feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:
The issuance of this permit by the Health Department in noway guarantees nce
site is subject to revocation if the site plan, plat or the intended use changes The Imp
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date:
SEE ATTACHED SITE SKETCH
of other pennies The permit buldlr is reSpansible for checking with appropriate governing bodies in meeting their requirements. This
almem Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: {�G1 10M65 LZc, PROPERTY LOCATION: C)Ous QQ
SUBDIVISION Q Pit.M LOT # Gio
Facility Type: �f't "S G� New ❑ Expansion ❑ Repair
Basement? ❑ Yes '1R No Basement Fi ures? ❑ Yes 'X No
Type of Wastewater System" 5`x1 0 tr _[J Sy9 e� C, (Initial) Wastewater Flow: y`ad GPD
(See note below, if applicable ❑) e
��10 �DVG�a St) A) "l5 (Repair)
Installation Requirements/Conditions Number of trenches S q
Septic Tank Size 1 Cep c7 gallons Exact length of each trench I $Z7 feet Trench Spacing: I Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. G') a inches
Maximum Trench Depth of: T$ "ciT—\ inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / anderstand the system type spelled it different /ram the type spec led on the app/icatian. / accept the spea6tationr o/ this permit.
Owner/Legal Representative Signature:
Construction Authorization
Authorized State Agent:
plat or the intended use changes. The Construction Authorization shall not be transfer;
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Date: `t
Authorization Expiration Date:
Date:
SEE ATTACHED SITE SKETCH
HTE# Lid Permit # 1c1b3�j
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: DOGS
SUBDIVISION CAc{N�o J LOT # lbd
IJ
IN i
Ez-1C—GU1SV6 OQ-,w6
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:
Proposed Facility: U Design Flow (.I949):Li�o
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method Augq
Boring ElPit El cut
Type of Wastewater. Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Miamlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Rem
Horiz
Pro51e
Class
& LTAR
S 1
0- L)?(
cr�'6
G e
Description Initial Repair System Other Factors (.1946): ,5
S ste Site Classification (.1948):
Available Space(. 1945)Evaluated By: L�
System T s l 2 Others Present:
Site LTAR