IPACHTE# 16 `IHarnett County Department of Public Health 29028
Improvement Permit
A building permit cannot be issued with only an cIm,provement Permit
PROPERTY LOCATION: iJONW 1 cjQ OO,C.. \LV "
ISSUED TO: JoNNp�Tjc,� �V'C.u-6.2 SUBDIVISION IJ�NNIZ<ZAoil- LOT#
NEW REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:ScP SSD �
Proposed Wastewater System Ty e: Pu e- F -b 94;7`0 S>�SiVU'\QJ Sy�'6 v�
Projected Daily flow: 3G 0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement Dyes -)KNo
Pump Required:,154es ❑ No ❑ May be required based on Final location and elevations of facilities
Type of Water Supply: ❑ Community --�K Public ❑ Well Distance from well R 6 0 feet Permit valid for. Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent: \\\ \��� ":�v1 Dace: `I �al l\co SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guanntees the issuano. ¢r permits. The permit is
is responsible Ior checking with appropriate governing bodies in meeting their requirements This
site is subject ro revocation if the site plan, plat or the intended use changes. The Improvement emit 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 permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1957, .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 p
ISSUED T0: bu�PCNa l 1 V FSL PROPERTY LOCATION: `�-' 0 NN\acL00-4- AV"
SUBDIVISION pv"aN.%rzzaN<- LOT #
Facility Type: S�O��'�4b� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement res? ❑ Yes o
Type of Wastewater System** S%U rvlQa o 9-CZUCct0. SYS. (Initial) Wastewater flow: 3C0 GPD
(See note below, if applicable ❑)
U L )o" 6"-t' 'Cw'�-"S (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size gallons
Pump Tank Size gallons
Pump Requirements: k. TDH vs.
Conditions:
Exact length of each trench aLsiO feet
Trenches shall be installed on contour at a
Maximum Trench Depth of:)$ c7� inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: feet on Center
Soil Cover. c- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
**If applicable / andeatand the sy tem type specified is diKeienl from the type speahed on the application. /accept the specibcatinns a this permit
Owner/Legal Representative Signature: Date:
This concoction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
tonstmttion Authorization is lana with the provisions of the Caws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI IAl.N6U lilt lRtIL"
Authorized State Agent.�� 4r� Date:
struction Authorization Expiration Date: )
HTE# )(:�'S-3 it 13 L-1 Permit # a''03S
Harnett County Department of Nblic Health
Site Sketch
PROPERTY LOCATON: 0c) ">JiM-0C) c, Q 0 J
ISSUED TO: � S�\a�uG 2 SUBDIVISION CYc—JOb2.o0,L LOT#
Authorized State Agent: Date: 9 > L
cS C
ZO,AN�99vTV
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: % 9flC.17% Design Flow (.1949). 0 \��
Location of Site: Property Recorded: J
Water Supply: 'Public❑ Indi dual ❑ Well
Evaluation Me 40.tea Pit ❑ Cut
Type of Wastewater: __Sewage dustrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Rem
Horiz
Profile
Class
& LTAR
1
05
Zy 3C
scic c.
� ssjy�
PS
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948): Q
Available Space .1945) 4 Evaluated By:OX
Sy -stern Type(s)) v r-, ( Others Present:
Site LTAR k , l.\