IPACHTE# 0-'�-1-A17tb� Harnett County Department of Public Health 29429
Improvement Permit
A building permit cannot be issued with only an Ira rovement Permit
PROPERTY LOCATION: 51 N a S>L-
ISSUED T0: �SG'3 $ V 1 L01rs L T N L SUBDIVISION S s v 64c a of y— LOT # 173
NEW,, REPAIR ❑EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S ?t1-} ��
Proposed Wastewater System Tpppe: Q V v" =q b 0'4B 6\ o A
Projected Daily Flow: T'r.14t) GPD
Number of bedrooms: L- Number of Occupants: - max
Basement ❑Yes )�540
Pump Required:�'es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet
Permit conditions:
SirSTG"4
Permit valid for.
'Five year
❑ No expiration
Authorized State Agent:: Date: 3 ��of 17 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaranties the issuance of other permits. The permit holder is responsible 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 pmvisions 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, .19SR. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout c�
ISSUED TO: CT> 6_S 1 N 6 *s PROPERTY LOCATION: \L7 '0 a ��
15� `�3 �,1 SUBDIVISION —T1-3 1 001 S� LOT # I�"�
Facility Type: Q/ New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ es ❑ No
Type of Wastewater System" PU') 70 �S�/0 Varkd)d (Initial) Wastewater Flow: 1-90 GPD
(See note below, if applicable ❑)
Q �SVZr k>, SX> (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size 1'0OeD gallons Exact length of each trench VSZ feet Trench Spacin :�_ Feet on Center
Pump Tank Size t nb d gallons Trenches shall be installed on contour at a Soil (over: - 1 a inches
Maximum Trench Depth of: M 'c)a inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: fL TDR 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 specified /i d/ffernot from the type specified m the app/icaDon. / acrept the rpecilcations of this permit
Date:
This construction Authorization i ct to 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 subjer(�to compliance a ions of the Laws and Rules for Sewage Treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: vim,\ ' Date: 3
Authorization Expiration Date:
HTE# I-i_S-L�03V � Permit # age
Harnett County Department of Public Health
Site Sketch
ISSUED TO: �Se3
Q
Y)V)>au)ry\6 "
PROPERTY LO(ATON: SU rw
SUBDIVISION
'b2
LOT # �1
Authorized State AgentL
IZ 01-Y IJ4
Date:3I
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: Design Flow (.1949): "V?
Location of Site: Property Recorded:
Water Supply: public❑ Individual ❑ Well
Evaluation Method[�R An 8 Boring El Pit ❑ Cut
Type of Wastewater: : cSewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
Landscape
Position/
Slope %
Horizon
Depth
(in J
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
i
LS
Description Initial Repair System Other Factors (.1946):
System.— Site Classification (.1948): S
Available Space( 1945) Evaluated By: (3'<
system Type(s) 0 V c'. !0 Others Present: —
Site LTAR