IPACHarnett County Department of Public Health 29036
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: HoV-+sr r2D
ISSUED TO: Gam 2 Gq)—Psv D I3 0 in E7 l N G SUBDIVISION M6p0 o *45 LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S W S) %5(.
Proposed Wastewater System Type: P tn4-T0 r 9-0)vCTaow �Yst6w
Projected Daily Flow: 3 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: IKs ❑ No ❑r,May be required based on final location and elevations of facilities
�.
Type of Water Supply: ❑ Community K Public ❑ Well Distance from well feet Permit valid for. �Kive years
Permit conditions: ❑ No expiration
Authorized State Agent: S Date: I Va-' IrS. lb SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the cc of other permit. The porous holler is r4onsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the sire plan, plat, m she intended uu changes. The Imps mens 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 nuposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and imtallation requirement 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: C ur�c3C�l� P afl� �n65 1NC PROPERTY LOCATION: npNZ)g6.T\ (Z!r--y`<QDXL
SUBDIVISION ASo0rw LOT # )i4
Facility Type: `SFO ��b '��� New ❑ Expansion ❑ Repair
Basement? ❑ Yes if( No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System*" P(/ cr,p 1 y rv,,V1 o R£.p LxK V,, Se's ; C—n (Initial) Wastewater Flow: 3C O GPD
(See note below, if applicable ❑) _ /�
pus --e > 0 a.SYO Q.W (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size i 0 o e�D gallons Exact length of each trench J.aS feet Trench Spacing: Feet on Center
Pump Tank Size 1 oQ0 gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: It inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/_I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. _ GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undeatand the ryrtem type specified it different from the type W611'ed on the app/irapon. / accept the rpetihrabonr of this pemAit
This (conviction Autfia�nr ui
plat or the intended we
Date:
not be transferred when there is a
construction Authorization is sat ect to wi 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: RE13 Date: -, w
Construction Authorization Expiration Date: q
HTE# ) C' S 3`1L-�il� Permit # �r�03f�
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Y)r LN6n
ISSUED TO: 0�C, `r�C! SUBDIVISION LOT #
Authorized State Agent:Date: e11aY'1{
aoo,
Tai '
�'Pt�(2Al�i �h� WAY
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOH✓SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3 ti'„OC, t— Design Flow (.1949):
Location of Site: Property Recorded: k
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:( Au$eer BBoring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOI, MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Minetelo
1942
Soil
Wetness/
Color
.1943
soil
IJ.
.1956
Sapro
Class
.1944
Reso
Horiz
Profile
Class
& LTAR
yy
2
o•aJ
G 4
Jr n -N9 ,e
12
,Description Inifial Repair System Other Factors (.1946): [�
S ste Site Classification (.1946): `J
Available S ce (.1945) Evaluated By:
S stem T s Others Present:
Site LTAR .:� L