IPACHTE# 1-I-yz-L"S-4 Harnett County Department of Public Health 29401
Improvement Permit
A building permit cannot be issued with only an Improvement Permit p
rr PROPERTY LOCATION: W aLL L.VGca5 .2
ISSUED T0: 'N t' , 1 y L SUBDIVISION S w V --,an w PT Q'L LOT #IJC
NEW REPAIR ❑ EXPANSIQQN ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S q'o Q -f tJ , LT. O
Proposed Wastewater System Type: a5O/u °wf -5'rS
Projected Daily flow: L1q;& O GPD
Number of bedrooms: tat Number of Occupants: g max
Basement ❑YesNo
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '14 Public ❑ Well Distance from well 10 C) feet Permit valid for.
Permit conditions:
Five years
❑ No expiration
Authorized State Agent: �s �6L-1i Date: a-1 15( 17 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the a of other permits. the permit holder n respomi le for chxking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site pian, plat or the intended use changes. The Imps meet Permit shall not be affected by a Mange 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
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .19S7, .1954, .1955, .1956, .1957, .1958. 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: 3\—, '-P-'sr'SN C- GocrSS. H t: PROPERTY LOCATION: arttLL_ Lva(as J:i
SUBDIVISION 5 w e c; 4 N ea. LOT # Li C1
Facility Type: S V9 L40"'�4OD New ❑ Expansion ❑ Repair
Basement? ❑ Yes '�< No Basement Fixtures? ❑ Yes �< No
Type of Wastewater System" a-S'0w REov G5 sG N SyaI" (Initial) Wastewater Flow: LaIX n GPD
(See note below, if applicable ❑)
a /a
y Nj (Repair)
Installation Requirements/Conditions
Number of trenches I
Septic Tank Size L o O 0 gallons
Exact length of each trench e.1.8 a feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: GO inches
(Trench bottoms shall be level to +/_1/4"
in all directions)
Pump Requirements: ft. TDM vs.
GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: 1.1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
"If applicable: /understand the rystem type speri6ed it diNerent hom the type speciTed on the app/nation. / accept the ipearleatlons o/ this permit.
Owner/Legal Representative
Date:
this tonstruction Authorization is roatian if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a
Constructions Authorization is subject to rot0hliance wit orisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
Authorized State Agent: Date:
Authorization Exairation Date:
SEE ATTACHED SITE SKETCH
NTE# 065 L-) Permit # '�-` 1 -ib )
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: W LL )—y cgs RD
ISSUED T0: s t a r�� , i N G SUBDIVISION S W t:E , wAT Est LOT # y�%
Authorized State Agent: Date: a�1S�17
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Deparhnent of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: LYiMr_ Design Flow (.1949): I.J{Qy�al
Location of Site: Property Recorded:
Water Supply: Public[-] Individual E] well
Evaluation Med odAuPer B ing ❑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
#
.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
cr1
C'b
�a S
Y4�,,�ivQ
6-.m
53 X. G
F
40-L�
3gJLSGZ
?,I
11 S
L4 -)a
C S
Ji7L '45 iv
.Z
Cf- (,
G 5
� a X Ny
c -`133
C-
1i:.1 SIP
43 s0
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V'n Z-6�f
� S
96.40
53xscL
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Psi
t�t
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948): ,Pf
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR , 6