IPACHTE#`5--2A—?CIHarnett County Department of Public Health 29042
Improvement Permit
A building permit cannot be issued with only an Improvement Pe it
1 PROPERTY LOCATION: ROSS Y)--S%WlW J
\
ISSUED T0: SrA E-�-,fca(L V� o'nES ti N G SUBDIVISION 9 )'fz<+Y+ vi G LOSSNO 6 LOT # I Li_
NEW REPAIR ❑fO NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFO < JJR
Proposed Wastewater System JTT pe: "as"I'D 160UCV oy4 -
Projected Daily Flow: GPD
Number of bedrooms: i Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes Nof7 May be required based on final location and elevations of facilities
of Water Supply: ❑ Community + Public ElWell Distance from well S feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:
The issuance of this permit by the Health Department in no way guarantees t uanre
site is subject to revocation if the site plan, plat or the intended use changes. The Impri
the Laws and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Date: V
SEE ATFACHED SITE SKETCH
of other permits. The Permit holder i's respor3ible for checking with appropriate governing bodies in meeting their requirement. This
Yemeni Permit shall not be affected by a change in ownership of the sire. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The construction and insulation requirement of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed m accordance
with the attached system layout
ISSUED TO: GL, Nvn,Es N G PROPERTY LOCATION: �osSE Q'T ^�v Vp
SUBDIVISION P a C LOT # I s 1
Facility Type: 'c1 D New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'b� No
Type of Wastewater System** 'J. e-% PNED-yCT10'J SSS l reg (Initial) Wastewater Flow: 3L� GPD
(See note below, if applicable ❑)
91S71 REJJ• S'/5. (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size 1 00 gallons
Pump Tank Size gallons
Pump Requirements: ft. TUN vs.
Conditions:
Exact length of each trench 300 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 11f)J4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. 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 SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified is different from the type spedded on the application. / accept the rpecilrcadonr of this permit
Owner/Legal
Date:
This construction Authorization 'en to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when then is a change in ownership of the rice. This
Construction Authorization is s 6 mmplan proVailit of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:; Date: sa),1L
st(uction Authorization Expiration Date:
HTE# 31-2bM Permit # a9l6u�,
Harnett County Department of 11"nblic Health
Site Sketch
PROPERTY LOCATON: /p�i nv',v YJ
ISSUED T0: SIG v — t mG> �tiL SUBDIVISION r�a� CnAss+ro G LOT # Y1L�
Authorized State Agent: Y Cot1v6Q -to 1 Dp(i3 Date: Y61)AL6
'D
_ 'R
t 2epAI2 t H
\ A2ED� IA
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOII✓SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: -
Proposed Facility: Design Flow (.1949):3
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation MethoJ�Auger Boring ❑ Pit ❑ Cut
Type of Wastewater. Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Coe:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
Other Factors (.1946):
SOIL MORPHOLOGY
.1941
OTHER
PRORLE FACTORS
Site Classification (.1948):1° 5
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Struchvef
Texture
.1941
Consistence
mincralogy
.1942
Soil
wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Hrri
Profile
Class
<AR
i5
v-C�l
6'�l
53rc
� s�i
Pg3
Description
Initial Repair System
Other Factors (.1946):
System' i
Site Classification (.1948):1° 5
Available S ace(.1945)
Evaluated By:&P-
S stem Type(s)
rJ-5' `%
Others Present:
Site LTAR