IPACHTE# I1w,-5-t4oa80 Harnett County Department of Public Health 29124
Improvement Permit
A building permit cannot be issued with only a}�Improve
ment Permitter
PROPERTY LOCATION: �"bNDF_QASpa ry
ISSUED TO: SUBDIVISION LOT #
NEW REPAIR ❑ El((IANSION ❑
Type of Structure:
Proposed Wastewater System Type: Qi -S70 Ecw Svo.r SY57Err�
Projected Daily Flow: Qo OO GPD
Number of bedrooms: �_ Number of Occupants: I Q ax
Basement ❑Yes ,AND
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 I (Don het
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
Permit valid for.
Five years
❑ No expiration
Authorized State Agent---'�!�\���� ly Date: `1 ) 116 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees tees t spk- of other permits. .The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site u subject m revocation it 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 o1 Rules .1950, .1953, .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
ISSUED TO: PROPERTY LOCATION: Posy DEUX)-S a RD
SUBDIVISION LOT #
Facility Type: 5V9��'��� New ❑ Expansion ❑ Repair
Basement? ❑ Yes !t*,,No Basement Fixtures? ❑ Yes 18NN�
Type of Wastewater System** 1 �'�o vc�f 0 SM (Initial) Wastewater Flow: GOO GPD
(See note below, if applicable ❑)
a 5'�u RED • S%5 . (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size S2.SU gallons Exact length of each trench 1 y0 feet Trench Spacing: Feet on [enter
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1 s%-iG inches
Maximum Trench Depth of a6— 1Q. 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: [L TON vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: S—.ocA-T%0 i inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / ondeatand the rystem type specified is different from the type specified on the app/intron. / accept the speci(cations of this permit.
Owner/Legal
Date:
This Construction Authorization is subject tion if th s to plan, 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 Authorization is to mmpliaa" 3visiiaKf the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent hobs Date: I:
Con ction Authorization Expiration Date:
HTE# Permit # a'
Harnett County Department of llablic Health
Site Sketch
PROPERTY LOEATON: pc AoEan�. Zn
ISSUED TO: de s (a SUBDIVISION 1 LOT #
Authorized State Agent: � �� �U f� cx Y -5n Date: \a171� �
H
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 Facility: F g 0 E Design Flow (.1949):
Location of Site: - Property Recorded: e
Water Supply Public❑ Individual ❑ Well
EvaluationMetho�] Auger Boling ❑ pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
SOI, MORPHOLOGY
OTHER
L
.1940
Landscape Horizon .1941
PROFILE FACTORS
E
Position/ Depth ..1941.1942
1941
.1941
#
Slope % (N.) Structure/ Consistence
Wetness/
.1943 .1956
Sapr°
,1944 Profile
Texture Mineralo
LS
Color
O ISbO1l
Class
Rest Class
Horiz <AR
\FT-N5)NQ
1 i0- 1 JS K GL V
0..a�
3
a d.� 6 5 Ycn �1Nv
N
'c'Li
`tel
Description
Initial Repair System
Other Factors (.1946):
S ste Site Classification (.1948)�r
Available Space(. 1945
S stern T
s)
Evaluated B Y ,,
Site LTAR
., .. _, _
Others Present: