IPACHTE# I(,- �3s"li Harnett County Department of Public Health
29040
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Y ICA ESt3 / L..a
ISSUED TO:Gu EYPai;>. SvswNP' meo"Nr. SUBDIVISION LOT #
NEWX REPAIR ❑ EXPANSIONq Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: MW, -4 , VsovnE Q,2%X7 5
Proposed Wastewater System Type: uac)eTo OS%0V::Gl#W Sym„
Projected Daily Flow 3G6 GPD
Number of bedrooms: S Number of Occupants: C, max
Basement ❑�Yes,t No
Pump Required."o Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community )K Public ❑ Well Distance from well t O O Net Permit valid for. Five years
Permit conditions:_ ❑ No expiration
Authorized State Agent: 1LGti7 Date: 101 7 6? SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaranteesssuance of other permits. The permit holder n respon ihle for checking with appropriate gmnning bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat 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 laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installations requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .19Se. 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 T0: GUc:--4>Qj?, Sy5t,4K iAM)� Ni, PROPERTY LOCATION: 11S F88Y Lt,l
/ SUBDIVISION LOT #
Facility Type: n y"� Worx�O� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes )�(No
Type of Wastewater System** Pv.n e -To 9LS`/0 14 -Dv OKk0 N Sj5SGm (Initial) Wastewater Flow: 30 GPD
(See note below, if applicable ❑) p -
f s s_t (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size T 00 0 gallons Exact length of each trench OL40 feet
Pump Tank Size S 000 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of �_ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDM vs. GPM
Trench Spacing: q Feet on Center
Soil Cover: 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
9�S'Aggregate Depth:
Conditions: �E CJSzg "i �K.6zcrT ,La-.-°NaR'otJS
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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: / ondeatand the system type specified is different from the type speci(ed on the application. / accept the specifications of this permit.
Date:
if the site plan, plat or the intended use
not
construction Authorization is su6jislijm mmpliarce` 1b,!te_pmyhions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
Authorized State Agent: vvV " Date:
struction Authorization ExOiration Date:
SEE ATTACHED SITE SKETCH
HTE# ��,-5 3)6�a Permit # 'a904t>
Harnett Countv Department of Public Health
Site Sketch
PROPERTY LOCATON: q E88y Ld
ISSUED TO: SUBDIVISION LOT #
Authorized State Agent:
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33
Date: S01 -r11 11
az?'
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility,3 Q:0 Design Flow (.1949): ?)0 7
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: 6,AuSa Boring ❑ Pit ❑ Cut
Type of Wastewater: .C;. Sewage ❑ 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.)
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure)
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
nnTexture
d
o -G
G
Q3
L -S
o a
o,1b
G s
VR• ��MP
0) )a 5
fs, �
Description Initial Repair System Other Factors (.1946):
Systw Site Classification (.1948): eJ
Available Space .1945) Evaluated By:(J—j
s steT s 9 tJ 1� Others Present: l
m
Site LTAR 4 . 1