IPACHTE# 1"7 -5 -L-) sq Harnett County Department of Public Health 29417
Improvement Permit
A building permit cannot be issued with only an Improvement Per
ter— PROPERTY LOCATION: LQIT14Gs� T>QeowN
ISSUED TO: o s 6 Y o SUBDIVISION ILOT # 1�
NEW REPAIR ❑ EXPA SION [-IType of Structure: 5�O ' )
Proposed Wastewater System Type: `-S;�/a t o ea Svg .
Projected Daily Flow: L4,% O GPD
Number of bedrooms: H Number of Occupants: -9� 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 X Public ❑ Well Distance from well L feet Permit valid for. —�K4ive years
Permit conditions: e ❑ No expiration
Authorized State Agent:: \ 23S—y Date: 3I I 1 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the inua er permits. The permit holder s respo sible Mr 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 affected by a change in ownership of the site. This permit is subjectto 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 Perm¢)
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1951, .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 T0: M os Es PROPERTY LOCATION: Is. as:7iaQowsv
SUBDIVISION LOT # 9N
Facility Type: New ❑^' Expansion ❑ Repair
Basement? ❑ Yes -!R� No Basement Fixtures? ❑ Yes —fin
Type of Wastewater System** 10 'P'eAVe' 10 l S SF+v (Initial) Wastewater Flow: LWO GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches 1-1
Septic Tank Size zo(b c3 gallons Exact length of each trench tZC) feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: \1-3-Z1 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: 6—'s — 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 system type specified it different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representati tore: Date:
This Communion Authorization is subject to revocation Ian, plat or the intended use changes. The Construction Authmiaation shall not be transferred when there is a change in ownership of the site. This
constructions Authorization AW compliance w!4
pmvisio a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
[Authorized State Agent 2rsNS Date: -3)i)
Const tion Authorization Expiration Date: )-7 1 rAa
HTE# F)'5-407SLz Permit# QL'I-'-li-?
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: C-0 0 t:57 12> , c N "�,D
ISSUED TO: SUBDIVISION 1 LOT # �3 _
Authorized State Agent: Date:
[•1
-To E2a6S C tu-Nw %D
65.
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:
Proposed Facility: Ll Ci,00,qrN Design Flow (.1949): U.Ia
Location of Site: Property Recorded:
Water Supply: Publico Individual ❑ Well
Evaluation Metho$fn Aug@r Boring ❑ 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth(IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
SL
wn- "15)"
�r
vn
e 53
v�. 5 }P
e�
J�
a
Description Initial Repair System Other Factors (.1946):
systkm Site Classification (.1948)
Available Space (.1945) Evaluated By:, �
System Type(s) �, b i� 2:Cs0 Others Present: v
Site LTAR 3