IPACHTE#16-5-�2'7c� Harnett County Department of Public Health
29029
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Otin, U —CO
ISSUED TO: Pew 1—y0v-1 SUBDIVISION V) ta,en%6 et t. Q,NoCr, LOT # Li
NEW REPAIR 0ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF'Q (,6'YxSS�
Proposed Wastewater System Type: ?vv"e e 3 0
Projected Daily Flow: � 9.�DvGaow �sS6N)
GPD
Number of bedrooms: ''- Number of Occupants: C, max
Basement ❑Yes ';�No
Pump Required%�la'es El No El May be required based an final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well LIZ) Q feet Permit valid for: Afire years
Permit conditions ❑ No expiration
Authorized State Agent: Date:i 1I ) b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua e,p`other permits. The permit holde is resp nsible for <heding wisA appropriate governing bodies in meeting their requirements. This
site is subject to "emotions if the site plan, rat, or the intended use changes. The Improvement 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 renditions of (his permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .19S7, .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: ` A v i Lyo r,. PROPERTY LOCATION: Cb -0 uSLLa 1
SUBDIVISION mF�n�6 R�G� Q *oGG LOT #
Facility Type: S F� ��a "r�5� New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes .;E�No
Type of Wastewater System** PU cw1P�0 aS°�tz R6wC�oar S' y�j 6x� (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) /
Vy 2E> , v 8 `r( o W-0) 15-6 . (Repair)
Installation Requirements/Conditions Number of trenches L
Septic Tank Size tboo gallons
Pump Tank Size \- o�ZsO gallons
Exact length of each trench feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: \o - olt-) inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t. TDH vs. GPM
Conditions:
Trench Spacing T Feet on Center
Soil Corer: 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 sXtem type specih'ed it different from the type specified on the application. / accept the rpecifnatiors of thir permit.
Owner/Legal Representative Signature: Date
This Construction An is subject to revoation if the site plan, plat, or the intended we changes. The Construction Authorization shah not be transhrnd when there n a change in ownership of the site. Thu
Construction Aut orimlion is sub'ett to co with risiom of the Laws and Rules for Sewage Treatment and Disposal and to she conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: C1L- S Date: 1 214
o (Ruction Authorization Expiration Date: 1
HTE# «"5 3`i �% Permit # ai0arl
Harnett County Department of Miblic Health
Site Sketch
PROPERTY LOCATON: 0 .Q
ISSUED T0: L o _ SUBDIVISION MP,-%�r- R1066, LOT # X16
Authorized State Agent: Date:
(' E R,.c tN6�r\
Mss; �E Lo�o,rEp .
-"4*SoaQz-y L, rG �)vSTL\LLEfi, t1JIT)k)—
\ z
C �SlU c1. o l••�S'Y F IZPT 10 +s
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOD:✓SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: f<24k^ Design Flow (.1949):36 0�4\
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ElWell
Evaluation Method: bAu er B ng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Sim:
❑ Spring
❑ Mined
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Iand scope
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Minesalogy
1942
Soil
Wetness/
Color
.1943
soil
Depth IN.
.1956
Sapro
Clus
.1944
Rem
Honz
Profile
Class
& LTAR
0
5L
c�. raS�tiQ
'S3 )< su~
�2 N q
S
Description Initial Repair System Other Factors (.1946): Pf
Systeul Site Classification (.1948):
Available Space(.] 945) Evaluated By:(3)�
System Type(s) M 0 Others Present:
Site LTAR