IPACHTE#1 -7— S -t OS`t5 Harnett County Department of Public Health 29150
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�^ -- PROPERTY LOCATION: Nu, c
6a.,S6 P9
ISSUED T0: C V FnGrc�E I�LASfZy SUBDIVISION _I_YG2G.�L- LCC LOT #
NEWREPAIR ❑ �KPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Vn ,.r. Non+6 llL, A10�)
Proposed Wastewater System Type: Qs7o QCo ve„a PaJ
Projected Daily Flow: 36O GPD
Number of bedrooms: 3 Number of Occupants: To max
Basement []Yes No
Pump Required: []Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �K Public ❑ Well Distance from well 1,00 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: _\\ :! \ Rb S Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees h . ante of other permits. The permit holder is res onsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the imended use changes. The Ins vement 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
squired 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 acutdana
with the attached system layout. r�
ISSUED TO: rcv cRt C--'5-) C— C2d y Q� PROPERTY LOCATION: N V`. Ga.D.S S `-0
a SUBDIVISION E-JG4,CTSE LOT #
Facility Type: fneA , ,�omE�Stt ���� J New ❑ Expansion ❑ Repair
Basement? ❑ Yes �R No Basement Fi ures? ❑ Yes DgNo
Type of Wastewater System" Q.So/o 0L/Gr b U ZJ Sy9SGrn (Initial) Wastewater Flow: 3%o GPD
(See note below, if applicable ❑)
�-�0/. RCO I S -tS , (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size 10 0Q2 gallons Exact length of each trench Q1� feet Trench Spacing: 1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover b inches
Maximum Trench Depth of: 1 V, 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. TDH vs. GPM
Aggregate Depth:
Conditions:
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 speciled is different from the type specAed on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Sign e: Date:
This Construction Autha ration is subjett to revocation i is Ian, plat 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 to compliance slidethe provisio, laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Authorization Expiration Date: 'I
NTE# I - 5 - -ti 0 S � i S
Harnett County
Permit # a5); O
vepailinent of Public Health
Site Sketch
r PROPERTY LOCATON: CJS Gppti5 SD
ISSUED TO:t v Cn G- C mpg g rr SUBDIVISION L- a- ZZ7 E LC c LOT #
Authorized State Agent: 1 (Dwv 70L1c53 0 Date:� )-)
' MCC; orr SATE P2�02 �a jNSS�LL�>t�N
O C2 �Z-J ��l 0 S
y65'
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: \
Proposed Facility: S Q9Q r\ Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply:Public❑ Individual ❑ Well
Evaluation Method:2�A ger Boring ❑ Pit ❑ Cut
Type of Wastewater. -aSewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Sim:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(in.)
.1941
Strucnvd
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Clue
.1944
Restr
Horiz
Profile
Class
& LTAR
'O"4Z, S)p
sL
t,36
53�aL
�zss 1 �
P'
s
0 -DI.
G
64-D
s3�csca
�I�,
�Sti
Description Initi R ar System Other Factors (.1946):
S Site Classification (.1948): pl
Available S ce .1945 Evaluated By:Qx
System T s Y. �y Others Present:
Site LTAR - trCs , +i'