IPACHTE# 11-5-_"ItG�453 Harnett County Department of Public Health 29141
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: t:
\
ISSUEDTO:�2��Ht.t_t 1'Aafne Q2os SUBDIVISION Co,cesavcL/ LOT #5L1—
NEW J5r REPAIR ❑ JNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sip 11-46-L-4 "1 )
Proposed Wastewater System Type: Pu mp 11 o QS7 o 'P.Wve--SsoN
Projected Daily Flow: 3 60 GPD
Number of bedrooms: '> Number of Occupants: 6 max
Basement ❑Yes XNo
Pump Required:ves ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well �C O feet Permit valid for.Five years
Permit conditions: ❑ No expiration
Authorized Sate Agent: Date: 'I A L\ I 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the a of other pertain. The permit ho�l er is responsihle 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 Imps emem Permit shall not he 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, .1968. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed to accordance
with the attached system layout
ISSUED TO: 'jQ Ps oPROPERTY LOCATION: `-0VX- %QQ,_J pPC.�' LvNG
SUBDIVISION C 0Y-E5Rv2y Q ott: L LOT # _
Facility Type: `��OLt +0 xL F`y _>T, New ❑ Expansion ❑ Repair
Basement? ❑ Yes '15Z No Basement Fixtures? ❑ Yes _'XNo
Type of Wastewater System** PvmQ 1 0 ��[r RCovGS ow S'957 Gm (Initial) Wastewater Flow: 3j:n,6 GPD
(See note below, if applicable ❑) _ `
Qvmp \d VL,cL4aSalAtiLc>.,,) (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 10 0 o gallons Exact length of each trench 'f S feet Trench Spacing: Feet on Center
Pump Tank Size s o o gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: 1$-'a 0 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions:
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.
inches total
**If applicable: / understand the system type speciled is different hom the type spenled on the application. / accept the specilcalons of thir permit.
Date:
This Construction Authonzation is su re" don if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. Thu
—construction Authoriz subje mpliana w visions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent Date: s a I _
CDoittruction Authorization Expiration Date: i kl� ig-
HTE# 11' L10y`�-3 Permit# ac1IL1)
Harnett County Department of Public Health
Site Sketch
p PROPERTY LO(ATON:_
ISSUED T0: SUBDIVISION LOT # Ste_
Authorized State Agent: 11S VpL\V ut, Date: \)"I 1-1
)
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SomTrE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3 Q DCfb Design Flow (.1949)360
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Metbbod:❑ AuSB 'ng ❑ 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
M
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
Profile
Class
A LIAR
.1941
Sfiuctad
Texture
.1941
Consisteoce
minaalm
,1942
Soil
Wetness/
Cola
.1943
SOH
.1956
Swo
Class
.1944
Resn
Ho
0-36
363
36 49
9
D- 31
6 5
3a,
5s >< s C
<
�i� 531 se
P 3�
77
�h 5C
5
3'F,
lr�
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): ps
Available S e .1945 Evaluated By: CT
System Ts f "Y a. I v4sQi" VV1.°q`]-n
Others Present:
Site LTAR