IPACNTE# Iro-5-A1-65\) Harnett County Department of Public Health 29127
Improvement Permit
A building permit cannot be issued with only_In Permit
�^ PROPERTY LOCATION: PP
ISSUED TO:SUBDIVISION Mg2,Lr,-"SOLK 4 LOT # 3
NEW)R' REPAIR SO eANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: x J
Proposed Wastewater System Type: u ne 5 yr -' is sr�
Projected Dail/ Flow:
Number of bedrooms:
Basement Dyes
,
Pump Required: r�t,el
Type of Water Supply:
Permit conditions:
_ GPD
Number of Occupants: (max
❑ No ❑ May be required based on final location and elevations of facilities
❑ Community Public ❑ Well Distance from well het Permit valid for: Five years
❑ No expiration
Authorized State Agent: "a � Date: � b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance {.ether permits. The permit holder 41'espoinlible for checking with appropriate governing bodies in meeting their requirements. This
site is subject in revocation if the site plan, plan, 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 .1950, .1952, .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: Tn CJ�.�.K CIO s 's 2s C7 sst't C PROPERTY LOCATION: \ y wG6t J V
SUBDIVISION A2cG>-tPLP cG LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes �No
Type of Wastewater System** PuVQ C-ZuGiN0%,3 �gtiT� (Initial) Wastewater Flow: 3CC) GPD
(See note below, if applicable ❑) P —�1 �� (Repair) P )
U �P �+ o Re air
Installation Requirements/Conditions Number of trenches sk.
Septic Tank Size t'D8O gallons Exact length of each trench to O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of.a� inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: el Feet on Center
Soil Cover. Y�— inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type rpedfyed it different from the type specified on the application. / accept the specifications of thir permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorisation shall not he transferred when there is a change in ownership of the site. Thu
construction Authorization is subje o complianu can � o the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 1 Date: \2LA)
Construct) {.Authorization Expiration Date: 1'1 11-1 1 `-0
HTE# I6'S 403-i
Permit # a �j Sam
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: iN G6N 0.o
ISSUED TO: M u Co� � v �rvvC� SUBDIVISION MPRH-s9t^r,c-e \\ j1 LOT #
Authorized State Agent: \LSCotrv(yZ i0txsoot6 Date:
ST OC'- Mww�% V Vim) 4&
am i
Department of Environment, Health and Natural Resources
Division of Environmental Health Sheet:
On -Site Wastewater Section Property ID:
Lot #:
SOILISITE EVALUATION File #:
for ON-SITE WASTEWATER SYS Code:
❑ Other
0771ER
LE FAC
.1943
soil
1956 1 .1944 1 Profile
apro Restr Class
'I ...
5.
�kf
S
Site Classification (.1948):
Evaluated By:O
Others Present:,
TEM
Owner:
Applicant:
Address:
Date Evaluated:)-)-)
Proposed Facility: 3 Design Flow (.1949):; 0 J Pr
Location of Site: - Property Size:
Water Supply:
�� erty Recorded: ,`�
Publie0 Individual
❑Well
Evaluation Method An er 11 Spring
Type of Wastewater: ❑ pit ❑Cut
ewage ❑ Industrial Process ❑ Mixed
P
R
O
F
l 1940
SOB,MORPHOLOGY
L Landscape
E
Horizon .1941 PROF
Position/
# Slope %
Depth.1941 .1942
(In.) Swed .1941 Soil
Consist®ce Wetness/
Texture Minetalo
5
Color D
2-5
0 VI;F11 k�.51lR
❑ Other
0771ER
LE FAC
.1943
soil
1956 1 .1944 1 Profile
apro Restr Class
'I ...
5.
�kf
S
Site Classification (.1948):
Evaluated By:O
Others Present:,