IPACNTE# ��—S z10'C10 Harnett County Department of Public Health 29423
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit OO"�
PROPERTY LOCATION: \417L—v G1i5 `0
ISSUED T0:Ys LcT—T s L Co + 5--s N G SUBDIVISION Sw Fl r rT C IL LOT #
NEW REPAIR ❑ EXPANSION 1-1SiteImprovements required prior to Construction Authorization Issuance:
Type of Structure:x3�' J
Proposed Wastewater System Type: Q S°!o RFsp.s c l' lyra
Projected Daily Flow: LM O GPD
Number of bedrooms: 1_ Number of Occupants: —Max
Basement []Yes 3 , No
Pump Required: []Yes S No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'Q, Public ❑ Well Distance from well feet Permit valid for.Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: t\5 Date: 4159 110 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu other permits. The permit hold�k for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocation if the site plan, plat, or the intended use changes. The Improve. t.Yermit 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
(Required 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 to accordance
with the attached system layout
ISSUED T0: N G PROPERTY LOCATION: W t 1.1— L.v CAS 14
SUBDIVISION S-a.s 661-411` (62 LOT # 3—J
Facility Type: CO- PCS -\Nrl New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Baseme t Fixtures.? ❑ Yes
Type of Wastewater System** a.S�2Q RC;, Uvti u r 3715. . (Initial) Wastewater Flow: I'4'?0 GPD
(See note below, if applicable ❑)
�o
1 I60ucS.Io4 Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size s o a 0 gallons
Exact length of each trench " O feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of `t2 -SS inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TON vs.
GPM
Conditions:
Trench Spacing c1 Feet on Center
Soil Cover. e36 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( 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 speraled is different from the type spedfed on the app/kation. / accept the specilcalonr o/ this permit
Date:
Construction Authorization
)r the intended use changes. The construction Authorization shall not be transferred who
Laws and Rules for Sewage Treatment and Dispoul and to the conditions of this permit
Authorized State Agent:� v�\� Date: 3 )3
Constr tion Authorization Expiration Date: 3
SEE ATTACHED SITE SKETCH
HTE# n—,3
Permit # 8.9
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: W t, -L- `--vim 1'`D
ISSUED TO: p N5 L C N0<. NC. SUBDIVISION Sw6G—S , Vi 7tIL LOT # 3Z
Authorized State Agent: � J of o Date:
U,S
43'
Ig0-
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: La,39tL•o Design Flow (.1949): L�3 �j
Location of Site: Property Recorded:
Water Supply:'Public❑ Individual El Well
Evaluation Method:MAu er Boring ❑ Pit EI 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
36-`�
�x aGL
rrti � �C14
Pf J
i�3 G
'tIR-Y, e 1,
tiS$�
G 9
v�17vS1N\
Description Initial Repair System Other Factors (.1946):
SystqA Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) — "SJ Others Present: �-
Site LTAR . 3