IPACHTE#) 7'S-'' a SSS Harnett County Department of Public Health 29435
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: �y ,s M'_ Q.D.
ISSUED T0: Cov �c7 y �o ,2 �dr�E 5 SUBDIVISION \-4 o r a Q it LOT # sila\
—
NEVI A( REPAIR ❑ MANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Mop la'R
Proposed Wastewater System Type: Co VE Cy a A t,,�
Projected Daily Flow: 3b Q GPD
Number of bedrooms: 3 Number of Occupants: C� max
Basement ❑Yes �R No
Pump Required: ❑Yes 'M No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -'K Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions:—c ❑ No expiration
Authorized State Agent: gt_1� Date: 3 f 3117 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guars a issuance of other permits. The permit holder is responnble 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 he 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, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: ���`�y �,n ��ar^65 PROPERTY LOCATION: RA4G,r QL'C-e" QD
SUBDIVISION 'vJ e a O 6v. LOT #
Facility Type: (" "0 �0 r ��J New ❑ Expansion ❑ Repair
Basement? ❑ Yes '151 No Basement Fixtures? ❑ Yes �K No
Type of Wastewater System'* C�,s-at;r-T, t cs � p, a_ (Initial) Wastewater Flow: '\3 4 O GPD
(See note below, if applicable ❑)
Ga a -r V'C—r.r � , o,,, sx L. (Repair)
Installation Requirements/Conditions Number of trenches LA
Septic Tank Size s o G o gallons Exact length of each trench 6 1 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: e2"% 3 O inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: a inches above pipe
1a inches total
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.
**If applicable: / understand the system type specified it different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature:
Date:
This construction Authorua' subject to revocation if the site plan, plat, or the intended use changes. The Commuction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization " object to co ce with rovisimns of she laws and Rules for Sewage Treatment and Disposal and to she conditions of this permit SEE ATTACHED SITE SKETCH
[Authorized State Agent: lea Date: 3 .-7 S7
onstruction Authorization Expiration Date: YJ 22 122
HTE#
Permit # Z `l L- 35"
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 2ZR'cGt4 `I &C,,c
ISSUED TO: �� ^2y cel\OM& SUBDIVISION W0M'-'4- ZE-4 LOT #5P
Authorized State Agent: �QL�v� TaLf7po(jf Date:
ak O4.c.wS r G M-55
RAYS N R -o c -x jW
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: --j Or;a Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual [_1Well
Evaluation Method�u er ^B ring El Pit F1 cut
Type of Wastewater: L..IJ Sewage ❑ Industrial Process
Sheet:
Property 1D:
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
Reur
Horiz
I
9.
p�O))1>�
i 3b
x
x s�
rn ss) "V
�5
Tie
Description Initial Repair System Other Factors (.1946):
System Site Classification (I 948)P`>
Available Space(. 1945) EvaluatedByq
System Type(s) «ti Y - Others Present:
Site LTAR , $