IPACHTE# IHarnett County Department of Public Health 29044
Improvement Permit
A building permit cannot be issued with only an Improvement Pjgnit
PROPERTY LOCATIRN: T1ry G6n7 TJ
ISSUED TO: �(LPOLEY �VD+T )n1(, SUBDIVISION T^er)—NONS VONS LOT #135
NEW �< REPAYRA ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `4V `S4"'`36)
Proposed Wastewater System Type: P CZ\J&ct nN 5"Ttm
Projected Daily flow:® GPD
Number of bedrooms: 3 Number of Occupants —4max
Basement ❑Yes 'Jio
Pump Required: ❑Yes —;M No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 1K Public ❑ Well Distance from well f OC'ifeet Permit valid for. bk4ive years
Permit conditions: ❑ No expiration
Authorized State Agent: VL—.r Date: 1o1 Y71I b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t am of other permits The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the intended use changes. The Ira ovement Permit shall not he agened by a change in ownership of the site. This permit is subject to compliance with the provisions of
the Lm 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, .1952, .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 T0: Boy s LS 1 "' ` PROPERTY LOCATION: , a rr,60 PD
r� SUBDIVISION PA 1) ONS Pot N �N LOT # h45
Facility Type: SFP W F x36 -�K New El Expansion El Repair
Basement? El Yes ', No Basement Fixtures? EI Yes -X No
Type of Wastewater System**c�S"/d p.C—ZJc'v off sy5—mn (Initial) Wastewater Flow: - Es GPD
(See note below, if applicable ❑)
).,slw Rao. SYS, (Repair)
Installation Requirements/(ondidons Number of trenches I
Septic Tank Size s o o a gallons
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
Exact length of each trench Zai b feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 111 ?1' inches
(Trench bottoms shall be level to +1-1/4"
in all directions)
GPM
Trench Spacing: tl feet on (enter
Soil Cover: (- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
"If applicable: / understand the system type specified is different from the type rpeafled nn the application. / accept the spechfcaiims aphis permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is o reromtimn 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
contraction Authorization is subject to compliance w inions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 9-A Date: 0 >7 l G
sAstruction Authorization EXDiration Date: t 0 I -AW
HTE# ��o-rJ-'Ji�� Permit# d�T�tiy
Harnett County Department of 1-lablic Health
Site Sketch
PROPERTY LOCATON: 1roG6N R�
ISSUED T0: �� �u"� �aC SUBDIVISION 1 LOT # T
Authorized State Agent: �� L°�1 "SoL�4SD0(jf� Date: No
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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: 3Z�Z2 Design Flow (. 1949).3�t
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Au&er&ring El pit ❑ Cut
Type of Wastewater.JZ:[Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOI, MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IJ.
.1956
Sapro
Class
.1944
Restr
Horiz
L-5
�;6T
SSX
�"
P5
Description Initial Repair System Other Factors (. 1946)-
Systeny I I Site Classification (.1948): f
Available Space (.1945 Evaluated By: Car
System Type(s)) n;, Others Present:
Site LTAR