IPACNTE# Harnett County Department of Public Health 29403
Improvement Permit
A building permit cannot be issued with only 42 Improvement Perm
PROPERTY LOCATION: S 4 +sb,r
ISSUED T0: MA2YS,��t n cE P�vst 06�L5 SUBDIVISION L -o, 51s LOT # L
NEW X REPAIR ❑ ERP ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFS lS$ xt.j'
Proposed Wastewater System T pe: 9um2--Tro 26S/o .Sy5
Projected Daily Flow: 3 O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑YesNo
Pump Required�lYes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -151,J Public ❑ Well Distance from well i2� Q� feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: `r Date: ? 1 DSL SEE ATTACHED SITE SKETCH
The issuance of this permit by the Nealth Deparmwnt in no way guarantees the a of other permits. The permit holder is respinsible for checking with appropriate goveming bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the intended use changes. The Improve t 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 Pules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Building Permit)
The construction and installation requirements o1 Rules .1950, .1951, .1954, .1955, .1956, .1951, .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: 1'hPu:Lyxs% PL'9+(JE iso)>Q&Q's PROPERTY LOCATION:T�N66
SUBDIVISION MaQcC�, + p cE LOT #
Facility Type: gFC> CSI�"t New ❑ Expansion ❑ Repair
Basement? ❑ Yes �K No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** ?v 1-2Z amu ea.S °fir l�Wv�S is r S�3 (Initial) Wastewater Flow: '140 GPD
(See note below, if applicable ❑)
p`Jc.R—Tv 21�'j ea RED. (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size t cO 0 o gallons Exact length of each trench ISO feet Trench Spacing: Feet on Center
Pump Tank Size "0 gallons Trenches shall be installed on contour at a Soil Cover. 1a inches
Maximum Trench Depth of: Q�f-) inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/•1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
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 specified is different from the type specled on the app/icarioa / accept the specilcanims of this permit
Date:
This Construction Authorization is subject to ser if the site plan, plat, or the intended we changes. The tomwctian Authorization shill not be transferred when there is a change in ownership of the site. This
construction Authorization is ct to mmp9hc{Lwith the ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: , �n ?G jg Date: Q'
Authorization Expiration Date:
HTE# 5 -"065-7 Permit # "�t'i o3
Harnett County Department of i'ublic Health
Site Sketch
PROPERTY LOCATON: TN G6N Rfl
ISSUED T0: SUBDIVISION MA'g <-C� i A cL LOT #
Authorized State Agent: t)IcL `SoUC5d0 Date:
Sy °C)�_ MtYL� QCL,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHAITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility. c,��w^ Design Flow (.1949):
Location of Site: Property Recorded:
Water Supplyublic❑ Individual ❑ Well
Evaluation MethoddAuga onng ❑ Pit ❑ Cut
Type of Wastewater.Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOH. MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
L
E
#
Landscape
Position/
slope %
Horizon
Depth
(in.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
wetnessr
Color
.1943
Soil
.1956
Sapm
Class
.1944
Resp
Huxiz
Pmfdc
Class
& LTAR
15.
o
Description Initial R air System Other Factors (.1946):
S em Site Classification (.1948):5
AvaiLble S ce .1945 _ Evaluated By:6'<
System Ts) Others Present:
Site LTAR (,