IPACHTE#Vo— S-3'1 ti5a. Harnett County Department of Public Health 29050
Improvement Permit
A building permit cannot be issued with only an improvemet�t�Permit
---c� PROPERTY LOCATION: Pt-aw ht'sGS O!L
ISSUED TO: SUBDIVISION _ LOT #
NEWg REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFr t? (u0 *SYS _
Proposed Wastewater System Type: �6�esVn1 aS< M
Projected Daily flow: �3kn GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑YesNo
Pump Required: []Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well Y OCJ feet Permit valid for. XFive years
Permit conditions: _ ` ❑ No expiration
Authorized State Agent:: _ (T�� Date: �� 1 -L SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the usthen permits. The permit holder is responi le for checking with appropriate governing bodies in meeting their requirements. This
site u subject to revocation if the site plan, plat or the intended use changes. The Improve t 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 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. O
ISSUED TO: �SSLQ. N-1 7�R PROPERTY LOCATION: e eg. PG'Sas Utz
rr,, SUBDIVISION LOT #
Facility Type: `�� WO ^L-)5) X New ❑ Expansion ❑ Repair
Basement? ❑ Yes —PK No Basement Fixtures? ❑ Yeses No
Type of Wastewater System*' QL.-T a S�. Line' S (e R — N)c r- S)N Sy,;C—M (Initial) Wastewater Flow: 36GPD
(See note below, if applicable ❑)
e Mf Qt_;5Zv1 11n. O.,4WJRepair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 10 e -O gallons Exact length of each trench So cA feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth ofd inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Trench Spacing: 01 Feet on Center
Soil Cover. b inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
n Aggregate Depth:
Conditions: :' %Lls 7
inches below pipe
inches above pipe
inches total
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.
" If applicable: / underrtand the ryrtem type rped§ed it different from the type rperifed on the applicaden. / accept the rpech7 a6onc o/ this permit.
Owner/legal Representative Signature: Date:
This Construction Authorizatin m revocation if the site plan, plat or the intended we changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is -4 m mmpli a tons of the laws and Rules for Sewage Treatment and Disposal and to the machiom of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 9':� '--'xS Date: 1-0
Authorization Expiration Date: 10
HTE# )�-- S_ -2-5ii°72L,
Permit # C)SO
Harnett County Department of Public Health
Site Sketch
ISSUED T0: E
P� t_ofL
PROPERTY LOCATON:
SUBDIVISION —
LOT # a
Authorized State Agent:
l �i iOL WPW
Date: h
asl
'-, 1�a,
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: S 'Yr72'^ Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply:�-S Public❑ Individual E) well
Evaluation Method:0-Att er Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File M
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOB. MORPHOLOGY
.1941
OTHER
PROFHE. FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structures
Texture
.1941
Consistence
Minmiggy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapm
Class
.1944
Resp
Horiz
Profile
Class
& LTAR
G
\IRV'1")e
)b-30
�x Gt
�C1��a 5 iQ
16y2 ),l e �7
PS
�o
Description Initial Repair System Other Factors (.1946):
System' Site Classification (.1948):4?
Available Space (.1945) V I J Evaluated By:
System Type(s) Others Present:
Site LTAR
\ c30 C) a— alt