IPACHTE#)�o-S3�1�M Harnett County Department of Public Health 29125
Improvement Permit
A building permit cannot be issued with only an Improvement" It
(� t� PROPERTY LOCATION: tJa,v E
ISSUED TO: GpvSl.rO SUBDIVISION 1a%Sov:H \yo%)S-nNo:L 2,4— LOT# Q
NEW X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ W PFLG holt 56
Proposed Wastewater System Type: Cow mef--y tc sv 9.t_
Projected Daily Flow: S enn GPD
Number of bedrooms: — Number of Occupants: L4 max
Basement []Yes '�KNo
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. Ive years
Permit conditions: ac ❑ o expiration
Authorized State Agent: 'NS Date: Na s 1 b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees ante of other permia. The permit holder Ipon ible 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 mprovement Permit shall not be affected by a change in ownership of the site. This permit is subject in 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, .1952, .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: CSS )'-4PJ ,^) �c E s PROPERTY LOCATION: S mfL j (c?.2 E
SUBDIVISION ,2s Sn�nn 1ro0US 2\AL A2`L LOT #
Facility Type: �P�C�IUUSE New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** Cat 4N Gryi T 0 N AL (Initial) Wastewater Flow: 100 GPD
(See note below, if applicable ❑)
r`syLt 1 «� t s A.L. (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size L o oD gallons Exact length of each trench 50 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: N. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: 6inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
ro inches below pipe
a inches above pipe
S� inches total
**If applicable: l otAderrtand the tyttem type specified it different from the type rpecibed on the application. l accept the specff/cadons of this permit
Representative Signature:
construction Authorisation
Authorized State Agent:
or the intended use changes. The construction Authorisation shall not
Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Date:
Date:
Date:
SEE ATTACHED SITE SKETCH
HTE# R\ 1� Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: - Pf>a sj Q," v
ISSUED T0: �s No >> �cCs SUBDIVISION Tit So vs 1 1Novss<i qtl �aQz4. LOT #_
Authorized State Agent: 5 SOLYSnS Date:'LI)�
ZZPr,gx-0 \�21VE
t 5a'
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: \4 �t4_ „Ov C- Design Flow (1949):10 d J�
Location of Site: Property Recorded:
Water Supply: PublicD Individual ❑ Well
Evaluation Method Atter loping D Pit D Cut
Type of Wastewater: 15 Sewage D Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
D Spring
D Mixed
D Other
P
R
O
F
1
SOIL MORPHOLOGY
OTHER
L
.1940
Landscape Horizon
.1941
PROFILE FACTORS
E
N
Position/
Slope%
Depth .1941.1942
(inJ Structure!
.1941
Consistence
Soil .1943 .1956
Wetness/
.1944 Profile
L%
TexNre
MineraloColor
Soil Sapro
D IN. Class
Restr Class
0 all G s
Horiz <AR
7—(1 `,II�C
cfT �� `gam C'L'
3n/
OQS C
S3 -Y- 6([_
Wn s5l
F f
Description
Initial Repair System
Other Factors (.1946):
Available S ace .1945)
S ste
Site Classification (.1948): �5
S stein T
s)
o-
Evaluated B cr
Y "�1
Site _TAR
-� �_ ., —
Others Present: