IPACHTE#16'S>Zc)S-1 7 Harnett County Department of Public Health
29120
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: Si-) (:h yj , W tPROPERTY LOCATION: 1V C, -J"m4
o L�o,ae�c, SUBDIVISION CO SieAw L Oo r leo NEyGJ�( LOT it
NEWV REPAIR ❑ EXPANSIONS Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: mos" Vw sw<6
Proposed Wastewater System Type: QS/is REp c s o K "S,- C NN
Projected Daily Flow: L-l-IL0 GPD
Number of bedrooms: Number of Occupants: �maz
Basement OPes ❑ No
Pump Required: ❑Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public ❑ Well Distance from well feet Permit valid for. '( five years
Permit conditioc- ❑ No expiration
Authorized State Agent: �>a nLlij Date: ti 3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guammees then of other permits. The permit holder i respo iblt 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 Improve 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, .1957, .1954, .1955, .1956, .1957, .1950. 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: S t)aH rJ tLL,p,.n,5 PROPERTY LOCATION: 't)C-Q N.1
facility Type:
(pT �N �icm,� L3� � SUBDIVISION _C� Qp„N c Oa , VaoftbyLVi> LOT # 5
New ❑ Expansion ❑ Repair
Basement? ElYes -�N No Basement Fixtures? ElYes o
Type of Wastewater System** eas'lo Rco. crC, bN Y55 tSsr� (Initial) Wastewater flow: Li?O GPD
(See note below, if applicable ❑)
2s�/° RGQ V GSIGN 5�� (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size t o o v gallons Exact length of each trench °Y feet Trench Spacing: Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6 - t b inches
Maximum Trench Depth of: VR -XZ inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TOM vs. _ GPM inches below pipe
oo Aggregate Depth: inches above pipe
Conditions: -Qn5A\,e ;P•C— `ixct.GF', tvol p W C --L1.0 0,&b it) 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.
*I( applicable / underztand the tyrtem type tpetiTled it different from the type spe 7led on the application. /accept the fperihcatioa of thin permit.
I " .....
: I. "°r,cacmuw.c as�nawm. Date:
This Constructron ct to rerocanon I the sue plan, plat or the intended use changes. The Construction Atimormanon shall not be transferred when there is a change in ownership of the site. This
construction Authnmmoioa subject m compli rovisions of the taws and Rules or Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent-.Date.
1� 6 t G
Construction Authorization Expiration Date: f0 G, )
HTE# )G— S 3 VS C� Permit # a
Harnett County Department of Plablic Health
Site Sketch
ISSUED T0:
PROPERTY LOCATON:
5)1 t �� q f SUBDIVISION GO C3— flora laowt cU)i LOT #
Authorized State Agen )�5 �� �t �o) �ypp{b Date: 6)1 J6
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
valuated:
Pro sed Facility: ty: I� 9 pv_rr Design Flow (.1949):)',/
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ElWell
Evaluation Method Au er B ring ❑ 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
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
,1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapm
Class
.1944
Restr
Horiz
55
C)
G s
V--tn151No
6 6
G S
VFtvs �nf
G-37
s31� sit
Ff sS)
Pc
Y
3-),
C 5
n
lb
P
Description Initial Re air System Other Factors (.1946):
System/ Site Classification (.1948):'( l
Available Space (. 1945) Evaluated By: 0�C
System T s S I 0 G Others Present
Site LTAR LYS - L\ S