IPACHTE# Harnett County Department of Public Health 29041
Improvement Permit
A building permit cannot be issued with only an Improvement P,�rmit
PROPERTY LOCATION: Ros-6 l�ma�S w
ISSUED T0: W EPY6SL NOc�1f 9 ) av L SUBDIVISION Q aiS nj;N f ANN 4 LOT #
NEW.X REPAHI ❑ ENPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sc9 k, x64'
Proposed Wastewater System Type: 2L -S' u 9-f-DUMO N y5''Gaur1
Projected Daily Flow: 3G!!5 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 'Allo
Pump Required: ❑Yes �20o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -'R Public ❑ Well Distance from well 100 feet Permit valid for. -150ve years
Permit conditions: ❑ No expiration
Authorized State Agent:�'�. \
The issuance of this permit by the Health Department in no way guarantees e
site is subject to revocation if the site plan, plat or the intended use changes. The
the laws and Rules for sewage Treatment and Disposal and to conditions of this p
Date:
SEE ATEACHED SITE SKETCH
of other permits. The permit holder is respmdible for checking with appropriate governing bodies in meeting their requirements. This
vemem Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The concoction and installation requirements of Rules .1950, AM, .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: e;W0q, PROPERTY LOCATION: 9,0,561511-�s'ttM+tsN
SUBDIVISION , st tYw Cdo-xD ,JC LOT # U
Facility Type: S��sY�64'P p
New ❑ Expansion ❑ Repair
Basement? ❑ Yes "�R No Basement Fixtures? ❑ Yes No
Type of Wastewater System**°VD 1263-Vc o,r SySSGrn (Initial) Wastewater Flow: 3be GPD
(See note below, if applicable ❑) c
c'N-7o
s Nzz- Sy5. (Repair)
Installation Requirements/Conditions
Number of trenches Y
Septic Tank Size 1 O 0 a gallons
Exact length of each trench 306 feet
Pump Tank Size 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. TDH vs.
GPM
Conditions:
Trench Spacing: I Feet on Center
Soil Cover. 6-)�—nches
(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 IOFT. 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 it different from the type seedbed on the app/irabon. / accept the soeoAnationr of this permit
Date:
This construction Authorization is so f vocation if the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when there h a change in ownership of the site. This
Construction Authorization is su�ecttL rimphanc pm9liLmns 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:
('doWtHructiorf Authorization Expiration Date:
NTE# ) 6 —S 3c —75--2 Permit # Q 11t 54)
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Qols F e)enw
ISSUED TO: WEwG2�0MESUBDIVISION t"RMwN o35W6 LOT#
Authorized State Agent:
Date: to 1-7'V4
/j
110 -\ n
s=�vAuNAH
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: 3 SC)eK` Design Flow (. 1949):',160
Location of Site: Property Recorded:
Water Supply: - Public❑ Individual ❑ Well
Evaluation Method(] AuBoring ❑ Pit El cut
Type of Wastewater. Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTBER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralo
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
SA,
P 5 3
L
gig
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):_
Available Space (.1945) If Evaluated By:O
System Type(s) 5 / -9 Others Present:
Site LTAR