IPACHTE#Harnett County Department of Public Health 29107
Improvement Permit
A building permit cannot be issued with only an Improvement �C:Permitg�
PROPERTY LOCATION: sSOV4 V -D
ISSUED TO: iv SUBDIVISION LOT #
NEW REPAIR ❑ ERPAF(SION ❑
Type of Structure: Svo ( ) O d xvs , J
Proposed Wastewater System Type: Pv md'To COaw 6sT oNp,I,,
Projected Daily Flow: Ca00 GPD
Number of bedrooms: .rte' Number of Occupants: t 0 max
Basement i1(Yes ❑ No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required:K�s ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Well Distance from well S O'O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: SS Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guanntees the is a of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their require omm This
site is subject to revocation if the site plan, plat or the intended use changes. The Impro 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 .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed is accordance
with the attached system layout
ISSUED TO: C -Lt -f Ot.1 PROPERTY LOCATION: —Z�vi" ckSON V'.o
SUBDIVISION LOT #
Facility Type: 5'~p C200"xLiLj� New ❑ Expansion ❑ Repair
Basement? _f!t Yes ❑ No Basement Fixtures? Yes ❑ No
Type of Wastewater System** Qu r 2'To Cf 6ts,1 ON D. t (Initial) Wastewater Flow: 6O6 GPD
(See note below, if applicable ❑)
Trench Spacing: Feet on Center
Soil Cover. L 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 IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undexstand the sozem type spedled is different from the type spedh'ed on the app/kation. / accept the specihcationr of the permit
Owner/Legal Representative Signature: Date:
This Comtruction Authorization is subject to revocation if the site plan, plat or the intended use changes. The construction Authorization shall not be transkrred when dere h a change in ownership of the du. This
Constructions Authoriation is subject tom idthe pr siom of the laws and Rules for Sewage Treatment and Disposal and to de conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: W— Date: i In
agfstruction Authorization Expiration Date:
(Repair)
Installation Requirements/Conditions
Number of trenches ro
Septic Tank Size t a5 gallons
Exact length of each trench 10 O feet
Pump Tank Size ta50 gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 1% inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TOM vs.
_GPM
Conditions:
S
Trench Spacing: Feet on Center
Soil Cover. L 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 IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undexstand the sozem type spedled is different from the type spedh'ed on the app/kation. / accept the specihcationr of the permit
Owner/Legal Representative Signature: Date:
This Comtruction Authorization is subject to revocation if the site plan, plat or the intended use changes. The construction Authorization shall not be transkrred when dere h a change in ownership of the du. This
Constructions Authoriation is subject tom idthe pr siom of the laws and Rules for Sewage Treatment and Disposal and to de conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: W— Date: i In
agfstruction Authorization Expiration Date:
HTE# S-3`1 ) Permit # Q-`110—)
Harnett County Department of Miblic Health
Site sketch
PROPERTY LOEATON: �1F ccso
ISSUED TO: JCS c c C-. )-s-dN SUBDIVISION LOT #
Authorized State Agent: j5 Lit-IV62 i Dv� Date: 1011),-
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IS`�SSc�LLp�'�1 OcJ `14 VER.Ir/
Department of Environrucat, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIGSITEEVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant
Address: Date Evaluated: \
Proposed Facility: gAztt Design Flow (.1949):CSC C,.i J
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual _Well
Evaluation Method Aug Buring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
a
1
.1940
LMW$Mpc HONOa
Posmm/ Depth
Slope% (m.)
�5
-)-I o G -b
SOIL MORPHOLOGY
.1941
.1941 .1941
Structure/ Consistence
Texnue Mat
G Vc7 _Ave
OTHER
-PROFDE FACTORS
.1942
Soil .1943 .1956 .1944 ho61e
Wetness/ Soit Sapro Reatr Qass
COQ Class Horiz k LTAR
S)_ C_
FZZ s/;�
e53S
C-4
S
Z s5�5P
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n 5,1sP
Vo
o-1 a
$ L
qr-, w)Ivf
Description Initial R System Other Factors (.1946):
S Site Classification (.1948): PS
Available S e(.1945 - ' Evaluated By: 0-S
S= T s V ra P C. IJ Others Present: S U
Site LTAR