IPACHTE# S(,-S_L cooHarnett County Department of Public Health 29117
Improvement Permit
A building permit cannot be issued with only an Improvement Permits,
f� PROPERTY LOCATION:_ SoHo Lig ING I�
ISSUED TO: 14os`-soio �oNp SUBDIVISION LOT#
NEW REPAIR E]EMANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _5 �O � 0 )
Proposed Wastewater System Type: CL.5 '/e L1 c7 soca
Projected Daily Flow: 2 4 0 GPD ��
Number of bedrooms: 1 Number of Occupants: Ll max
Basement Ves ❑ No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community- CCI Public ,.R, Well Distance from well S tn!�) feet Permit valid for. �ive years
Permit conditions: _ ❑ No expiration
Authorized State Agent: `a� -11�W Date: \ ) tr SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarame�es the nhpeof other permit The permit holdef 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 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
squired for Building Permjtt
The construction and installation requirements of Rules .1950, .1953, .1954, .1955, .1956, .1957, .1950. and .1959 are incorporated by references into this permit and shall be met Symms shall be installed in accordance
with the attached system layout /n `
ISSUED TO: ��ortaz0 �0a.0 PROPERTY LOCATION: %dssD
SUBDIVISION LOT #
Facility Type: SFn ^ tLI (� New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fix ores? ElYes iff No
Type of Wastewater System" Zse% e C0 (Initial) Wastewater Flow: ZlkO GPD
(See note below, if applicable ❑) _
2\i,Mf n �.�e�o Q6P (Repair)
Installation Requirements/Conditions Number of trenches� 1
Septic Tank Size 't p o c-) gallons Exact length of each trench feet Trench Spacing Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. tR' L inches
Pump Requirements: (t. TDM vs.
Conditions:
Maximum Trench Depth of:` 30 -1% inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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 / unde�tand the syrtem type rpetified it different !rm the type sperile0 on rhe app/iraaon. / accept the speri6catioar o/this permit
Date:
ims tonsmucnon Aumon no is subject ro re 'f she si an, plat or the intended use changes. The construction Authorization shall not be transferred when there h a change in ownership o1 the site. This
tunstmction Authorization is o mmpliance wi "on a taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: RENS Date: IT
Con jun Authorization Expiration Date: Is XP-)
HTE# 11306'�, Permit # a°S t 11
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: �yr o 1—ro CNC-1�
ISSUED TO: SUBDIVISION LOT #
Authorized StateAgent: s �rvKt sat�c�ao Date: 111 )A I �4
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Department of,Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
S011JSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):114 0 )P
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auga Boting E] 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
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941PROFILE
OTHER
FACTORS
Profile
Class
& LIAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapm
Class
.1944
Resu
Horiz
1
L.3
a••S
0.6
6 s
�� u
6•).2
Sgx,�
c=cz.ss�
M L
ti0
x
53
-'c5 RT(
P
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):-ei
Available Space(. 1945) Evaluated By: M
System Type(s) W Others Present:
Site LTAR
,Yv fab/`e. ;�, 6 - 1 ll