IPACHTE# 1 --?-5 Harnett County Department of Public Health 29431
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C ,mtn,N Cs RD
ISSUED TO: �2a� �or G� SUBDIVISION — LOT #
NEW)' REPAIR ❑ .EEX�PANSION ❑
Type of Structure: S'ZQ
Proposed Wastewater System Type: Co.r cG K 1 b N to L
Projected Daily Flow: H--& 'Z) GPD
Number of bedrooms: t-1 Number of Occupants: max
Basement ❑Yes XNO
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Dyes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community >e Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: Date: --3 1-1-01 �-1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ce of other permits The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation if the site plm, plat, or the intended use changes. The Impr ment 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 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, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in a(cordane
with the attached system layout
ISSUED TO: c' PROPERTY LOCATION: 65 RO
SUBDIVISION — LOT #
facility Type: SAO !~� Sfx5 t� New ❑ Expansion ❑ Repair
Basement? ❑ Yes -C3( No Basement Fixtures? ❑ Yes No
Type of Wastewater System`* <Z�a a " C>-S-� 10 N S'ti (Initial) Wastewater Flow: �� a GPD
(See note below, if applicable ❑)
GrJ rv�TGa.s'�� to rA rr1 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size Y o cSD gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. a0 --3D inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions: `y a S—Y
Trench Spacing: I Feet on Center
Soil Cover. t -'si 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 LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the ryrtem type rpeciled is different from the type spec/led on the application. / accept the specifcationr of thii permit.
Owner/Legal Repc s�entative Signature: Date
This Construction Authorization is srf revocation if the site plan, plat, or the intended use changes. The Commission Authorization shall not be transferred when there is a change in ownership of the Site. This
Construction Authsmza bject tu`<--Ielwlllotlkprovisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Tit Date: S
onstruction Authorization Expiration Date: 3 �L
HTE#
Permit # a V-0
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: C- U r✓11NC-S T�S�
ISSUED T0: �� �� 1�`or^ GS SUBDIVISION LOT # a
Authorized State Agent:
N o s 6PpOr4 "5
N G6DGo .
gay
G Urt. rnImgZ (Zn
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: t-�, g92M Design Flow 1.1949):14Yl
Location of Site: Property Recorded:
Water Supply:Public❑ Individual ❑ Well
Evaluation Method: Aug Bo ing ❑ Pit El cut
Type of Wastewater: Sewage E] 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
X53
a
c-13
('s Is
N;1'W
13
t-
'frn sJ?
3
Description Initial R air System Other Factors (.1946):
System Site Classification (.1948): j
Available Space (.1945) V Evaluated By: �),(
System Type(s) C—' tj C.0 Others Present:
Site LTAR • 3 J