IPACHTE# 16 .5 44V Q) Harnett County Department of Public Health 29114
Improvement
Permit
A building permit cannot be issued with only an Improvement Permit
\ `
ISSUED TO: Gaai �o$,.�sn� 00ME5
A
PROPERTY LOCATION: BQ-)(-C 5 V-9
SUBDIVISION vq;war�
LOT# 13
NEWA REPAIR EX SION ❑
��Q
Site Improvements required prior
to Construction Authorization Issuance:
Type of Structure: S'Fo "6q
Proposed Wastewater System T pe: u cc* O ���A 1�Fnuc^10
`��
n SYSiGM
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants:
max
Basement ❑Yes XNo
Pump Required.,les ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 10 feet
Permit valid for. Xive years
Permit conditions:
❑ No expiration
Authorized State Agent: 5 Date: U) I OIT C SEE ATTACHED SITE SKETCH
The issuance of this permit by the Realth Department in no way guarantees the a of other permits. The permit holder is respons le 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 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 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, .19S7, .1954, .1955, .1956, .1951, .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: G ACLy '�Is00\TVSO u \A o CCN S PROPERTY LOCATION: 'i�)Gy? . (6 Q -t)
SUBDIVISION Be -1665 Plzt LOT #
Facility Type: 5 VDL-76'°66) New ❑ Expansion ❑ Repair
Basement? I]Yes 'AR,No Basement Fixtures? ElYes No
Type of Wastewater System** PO M970 AS°Io OSI O>J Sys (Initial) Wastewater flow: 3C GPD
(See note below, if applicable ❑)
Vy M pe "Zp KfO -Zll5 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size I o czo gallons Exact length of each trench 1 CO feet
Pump Tank Size \- 'Zs O (D gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1I -W. inches
(Trench bottoms shall be level to +/-I/4"
in all directions)
Pump Requirements: fc TDH vs. GPM
Conditions:
Trench Spacing: °i 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 (IN(LUDING IRRIGATION) MUST BE IOFF. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the ryrtem type specified it diNerent hom the type spedfed on the application. / accept the specifications of this permit
Owner/Legal Representative Tignatnze Date
This Construction Authodatio is mbjea to retro tion , site , plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Aututiaation is omplianse wilwIteumvism a laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent QG\ Date: t)))rJ1% G
Cons tion Authorization Expiration Date: t
t -1O0 d �
HTE# Permit # a�>>
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: OiLAEc,S
ISSUED TO: R�s31 OH HDn-6S SUBDIVISION 82� 6Z, LOT # 13
Authorized State Agent QL}1S �ouYb4 To14oClt� Date: \ 1 T D I
Fl
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: t`I`360 )
Proposed Facility: -3 Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply:*))sewage
blic❑ Individual [I Well
Evaluation Method 'g ❑Pit El
Type of Wastewater: ❑ 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
Minaalo
.1942
Soil
Wetness/
Color
.1943
Soil
Rd.
.1956
Sapro
Class
.1944
Rem
Horiz
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Description Initial Repair System Other Factors (.1946):
Systejn Site Classification (.1948)R5
Available Space(. 1945) Evaluated By:6
System Type(s) Uvh? s Others Present: --�
Site LTAR 3