IPACHTE# 4 O(W Harnett County Department of Public Health 29406
Improvement Permit
A building permit cannot be issued with only an II1X,-.Prov,ment Permit
PROPERTY LOCATION: YANiiG-4A SA �o
ISSUED TO: �� vt 1"v d "S SUBDIVISION `' LOT # 3
NEW W REPAIR ❑ E NSION ❑
Type of Structure: 5F9 C4c9 x GnO
Proposed Wastewater System Trpe: t.S /o ve, \C;a yS6�
Projected Daily flow: L U GPD
Number of bedrooms: _ L� Number of Occupants: max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well O n feet Permit valid for. .'R�Five years
Permit conditions: �� ` ❑ 'No expiration
Authorized State Agent: ' `� '��_� Date: 1� 01 )� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is�f other permits. The permit holder u responsi a 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 Improvement Permit shall not be abetted 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
(Required for Building Pe_mitl
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shallbe installed in accordance
with the attached system layout
ISSUED TO: Q� 0L LYc) rf PROPERTY LOCATION: Y a "-VC-Z7-05f, ®0
,
SUBDIVISION LOT #
Facility Type: S� 9 y� by
New ❑ Expansion ❑ Repair
Basement? ❑ Yes /M\ No
Basement Fixres? E] Yes No
Type of Wastewater System"
� "/o
�VC,0 J TssG�
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size 1 n00
gallons
Exact length of each trench '$0 feet
Trench Spacing: 01 Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover. (--�'—L inches
Maximum Trench Depth of:Yui x: 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
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 rpecifed is different from the type spedfved on the app/iratioa / accept the sperifeatianr o/ thir permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is suhject to revocation if the site plan, plat or the imended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to comjhuZ—e�ns of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:�� P ] Date: a0 1
Colftruction Authorization Expiration Date: a a
HTE# !`l-5-`—[061
ISSUED TO:
Authorized S
rol
Permit
Harnett County Department of Pablic Health
Site Sketch
PROPERTY LOCATON: PdT OZZ tZ 05A Y-9
LOT # —
1a6,
Date: a -O
Department 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: a
Proposed Facility:? CPQ. <4Design Flow (.1949): �-i� Q
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: ug o 'ng ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot M
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
L5
a
03
G 5
vm NsP
\
n
�
o -1L,
G s
�Tra Ns)roQ
1 x53
Sb(� -4L,
FrL 55)n+p
P5_
S
Description Initial Repair System Other Factors (.1946):
System, Site Classification (.1948)
Available Space(. 1945) Evaluated By: CA
System Type(s) S -0/a Qi Others Present: j
Site LTAR _ S
� c,