IPACHTE# li--5-�trft"i3 Harnett County Department of Public Health 29428
Improvement Permit
A building permit cannot be issued with only an Improvemet erm
nit
T�G�-i )y o� L--LGLcPROPERTY LOCATION: OoU`+
ISSUED T0: t [ SUBDIVISION �nYcno� LOT #
NEWX REPAIR 111 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �� L36 �1 l
Proposed Wastewater System Type: Do, bio a ' PU'>�S
Projected Daily Flow: lar -0 GPD
Number of bedrooms: '-�) Number of Occupants: 4;) max
Basement ❑Yes 'KNo
Pump Required`'(es ❑ NoMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well Lop feet Permit valid for. Five years
Permit conditions: —_� ❑ No expiration
Authorized State Agent: -"*' u' Date: 1— � i SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaran a issuance of other permits. The permit holder is respon ibh 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 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 .1958, .1952, .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:
["'LUe- Lite
PROPERTY LOCATION: Docs Qo
Facility Type: ri-oLyo,' 'SJNew
SUBDIVISION OAS. T o Fr LOT # SI -J
❑ Expansion ElRepair
Basement? ❑ Yes No Basement
Fixtures? ❑Yes 2� No
Type of Wastewater System** 1w<w
1 a � Iics 9-4pc,Gg o N
(Initial) Wastewater flow: '3�-ID GPD
(See note below, if applicable ❑)
9t.' cry?
�
l 0 `E��
5 (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size k o 0 o gallons
Exact length of each trench 1410
feet Trench Spacin : 9 Feet on Center
Pump Tank Size 0 gallons
Trenches shall be installed on contour at a
Soil Cover. a'S$ inches
Maximum Trench Depth of:1I "--✓a
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
inches below pipe
Aggregate Depth: inches above pipe
Conditions:
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: / amdeatamd the smem type rpecified it diHere#t from the type rpechfed im the app/icadam. / accept the rpecifcati mi of thir permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subk m revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is
Authorized State Agent:
of the Laws and Rules for Sewage Treatment and Disposa
o struction Authorization
and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: 3
pion Date: � �''
HTE# Q$L�3 Permit # a0li��
Harnett County Department of Public Health
Site Sketch
1Qo L` C
PROPERTYSUBDIVISION IOTN NOA vL
ISSUED T0: NS LOT # Tyg
� I j
Authorized State Agent: \ �� `e' e-1-4EL T OLY-3'bO � Date: 3 ladl l l
�s
E
N6��,Ne2�wooa 02
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: S G,Q.f°� Design Flow (.1949)&(j0 -p
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method�AugdWring ❑ Pit ❑ Cut
Type of Wastewater: Sewage E] Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Sim:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
4
.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
.1943.1956
Soil
Depth (IN.
Sapro
Class
.1944
Restr
Horiz
Description Initial Rep it System Other Factors (.1946):
system Site Classification 1. 1948)—)
Available Space (.1945) e
Evaluated By: \
System Type(s) IQ U R,Q /✓r Others Present:
Site LTAR