IPACHTE# 1'1-5 — ( If)%� Harnett County Department of Public Health 29144
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
t�` PROPERTY LOCATION: CL W,t,�sro5
ISSUED T0: )i L- SUBDIVISION LOT #
NEWX REPAIR ❑ EXPANSION ❑
Type of Structure: CS sr: b v i uJ , v G p(�L4 A) -0
Proposed Wastewater System Type: a-�°% a eC-.OV C -7N 0 eJ E w.
Projected Daily Flow: LOO GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes -*IKr No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community _1 k Public ❑ Well Distance from well feet Permit valid for. Five years
Permit Conditions: c ❑ No expiration
Authorized State Agent:: `4elkn%, Date: h%�1l � SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Departrnart in no way guarantees t e of other permits. The permit holder is responsible for <backing 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 Imp went Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
squired for Building Permit)
The construction and imtallation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in ac(ordana
with the attached system layout
ISSUED T0: 1 e rn rn) rfy C, l C—i t_ PROPERTY LOCATION: C L ",J
SUBDIVISION
Facility Type: O Q' b y,"-> tH G 'X New ❑ Expansion ❑ Repair
Basement? ❑ Yes -12—No Basement Fixtures? ❑ Yes X No
Type of Wastewater System" -;I-!S°Zo RGOvy, v 0 " ) S -C yr t (Initial) Wastewater Flow:
(See note below, if applicable ❑)
QN c h • 5-1-:, (Repair)
Installation Requirements/Conditions
Number of trenches a
Septic Tank Size L o 0 0 gallons
Exact length of each trench 30 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: V% - a-) inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs.
GPM
Conditions:
LOT #
1 0 C3 GPD
Trench Spacing: Feet on Center
Soil Cover: 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 r.YS type rpedded it different hum the type rpecifed on the app/intron. / accept the rpeeih'rationr of thin permit
Owner/Legal Representative Signature: Date
This Construction Authorization is suble owtian if she site plan, pht 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 i ct to mm t p m of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATrACHED SITE SKETCH
Authorized State Agent: Date: 125 Yl
mR�gLEtion Authorization Expiration Date: I
HTE#
Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Q' L �' LXXNS
ISSUED TO: e��y �G�l / SUBDIVISION LOT #
Authorized State Agent: loL'�64 707 0SIT Date: S� Ds 11,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: \
Proposed Facility: Design Flow (.1949): t0Q5 1
Location of Site:Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Me ger Bo ng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
5
Sb -3C
33X W.L
'iF�) A 1
�f
ago
�S
vvt,
Description Intiepair System Other Factors (.1946):
S s m Site Classification (.I948)4f
Available S ace (.1945 Evaluated By: 4Z C
system Type(s) Others Present:
Site LTAR • U�-