IPACNTE# K, -5-3c1`1,) I-) Harnett County Department of Public Health 29043
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: SYLOO'KS '"ita146V"N
ISSUED TO: Y'SI" nu2a-�v 4-� SUBDIVISION O H T t, GUT,\ E-EAIC6 LOT #
NEWX REPAIR ❑ EXXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M at A . )2\ lIZC% x3
Proposed Wastewater System TypPe: ° o RCMUMI ors 'Zf /Sr6NN
Projected Daily Flow: 360 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes'N0
Pump Required: ❑Yes l No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well i, O0 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:�L—� 5 Date: 10 s� s 6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way Russ- a issuance of other permits. The permit holder is .'pswsi le far checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation if the site plan, plat. or the intended use changes. he 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 (or Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirement of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by rehrences into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO:1ES1L>'\anl� PROPERTY LOCATION: 2>11-00Y5 "o-,NGUM
SUBDIVISION 01A Y e'"6Urn G7570,T63 LOT # a7
Facility Type:A^S �O^' cc Uk "36)' New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ YesNo
Type of Wastewater System" as�l a V 4T\ O N Ts T6rn (Initial) Wastewater Flow: 3 C 6 GPD
(See note below, if applicable ❑)
Q. 5-'5 • (Repair)
Installation Requirements/Conditions Number of trenches t c
Septic Tank Size .1 CD00 gallons Exact length of each trench 2.00 feet Trench Spacin : I Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover.. inches
Maximum Trench Depth of: 3 ('1"- inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: fL TDH vs. GPM inches below pipe
T, Aggregate Depth: inches above pipe
Conditions: �f. a� l —�t Ei 34D� inches total
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.
**If applicable: / understand the system type spedffed is different from the type spedfyed on the app/intron. / aaept the rpeu6rations of this permit
Representative
construction Authorization is
plat or the intended use changes. The construct
of the laws and Rules for Sewage Treatment and
Authorized State Agent:
Cans ctioTut
rieation shall not be transfer,
and to the conditions of this
Date: I a
Expiration Date: cr
Date:
when then is a change in ownership of the site. This
-mit SEE ATTACHED SITE SKETCH
1C
HTE# 16-5- -?�q$it-� Permit # @-. 041
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: �jmo0� rl�a GVM
_ SUBDIVISION O�A MPPoGW� C gZ45 LOT # 2�
S`ozwErt To2KSDpQ( Date: 1011�,��
.1$
r (L GPH 12,
�-,0Me
35'
(3Umoa,b %.-o
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow(. 1949):36�?V\�
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Methodb,Auger B ng ❑ Pit ❑ Cut
Type of Wastewater: --a 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/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Restr
Horiz
System Type(s)
Others Present:
Site LTAR
30.uY
sou s y
551�c
PS��
Description
Initial
Repair System
Other Factors (.1946):
S stem
Site Classification (.1948):P3
Available S ce (.1945)
Evaluated By:0'
System Type(s)
Others Present:
Site LTAR
1 `261 C 8 & 'e