IPACNTE# t e s -yon/ Harnett County Department of Public Health 29291
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION_To(mSfoar, Ccivnh L'w<. ILA - SQ— IS sI
ISSUED TO. �Nr 6j1 'IAtCS Trac. SUBDIVISION LOT #
NEW LAG REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 6 2 S FAD
Proposed Wastewater System Type: ZS '16 x.bnA SyS/+s..
Projected Daily Flow: I0 r) GPD
Number of bedrooms: 3 Number of Occupants: (max
Basement ❑Yes
Pump Required: []Yes
Type of Water Supply:
Permit conditions:
D,1110
❑ No May be required based on final location and elevations of facilities
❑ Community Vpublic ❑ Well Distance from well feet
Permit valid for.
IsKere years
❑ No expiration
Authorized State Agent. Date: (. t 5 SEE ATTACHED SITE SKETCH
The issuance of this permit by 1 th Department in no way guarantees the issuance of other permits. The permit holder is responsible fai checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation if site plan, plat or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the ute. 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, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed m accordance
with the attached system layout.
ISSUED TO: S&nc-;lje—f5 'Trac. PROPERTY LOCATION:Tokil5ka (<a. (-;At_ 21.1, [50— 1551%
SUBDIVISION LOT #
Facility Type: 56 a- _ S rT-JJ f11' New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Z5 a n Is4is (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
ZeS �o fTr..A uc,,\can 5g S Fenn (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size s oo o gallons Exact length of each trench VO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: ZAF inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover. / Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: Z inches above pipe
12 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.
**If applicable: / m7desstaod the system type rperified it diNerent hom the type sperih'ed on the app/izatiom / irrtept the spechiIiations of this permit
Owner/legal Representative Signature: Date:
This Concoction Authorization is subject to revocation if the site plan, pla4 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 subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized St a Agent. si�—�Date:
�.,�� ®��`e , duction Authorization Expiration Date:
HTE#
S — 1/0 W l Permit # 'z q Z9/
Harnett County Department of 1'ublic Health
Site Sketcb
PROPERTY LOCATON: `T,h� n Cumin+, ne Qi l� SC 155 I)
ISSUED TO: SUBDIVISION V LOT #
JL—
Authorized State hen 2' Date: / — _' f %
.GZ��S --2 .
15, 1
M
Department of Environment; Health Natural and Resources
Division of Environmental Health Sheet:
On -Site Wastewater Section Property ID:
Lot #:
SODJSITE EVALUATION File #:
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Ztt 7"ipppli ✓can: 3 d��r./ 6,,41e� snt .
Address: '-oi 3 Date Evaluated: t b-/ 7-1 / /L
Proposed Facility., 30n_
Location Site: Design Flow (.1949): I Property Size:
Water Supply:
ly: !b r—,� Property Recorded: ) e5 % �-
public] Individual
Evaluation Method:(��gerBoring ❑µ'ell ❑ Spring ❑ Other
Type of Wastewater: sewage 0 Pit ❑ Cut
❑ Industrial Process 0 Mixed
R
O
P
I
.1940
SOR,MORPHOLOGY
L
E
Landscape Horizon
Depth
.1941
.1942
OTHER
PROFILE FACTORS
#
Slope
lope Y.
SS (in.)
.1941
SWcnud
Texture
Consistence
soil
Wemess/
.1943 .1956
Sol
Sod
.1944 Profile
l
)� d"ZO &
Minerslo
Fr
sapre
D t6 Class
Reno
Claw
Him &LIAR
G
S L
sSSP �c
Ps
�'�dK
�Isu
s eS
-7.sr2%zEHZ''
4g
c3.35
,Z
G- G 0 qD 6r
5,
�ss� s
7 s1a y/zJ 36''
40 +
PS�r,.G
SL
y0i
Site Classification (.1948): P S
Evaluated By:
Others Present: