IPACHTE# l, -1-s- Harnett County Department of Public Health 29443
Improvement Permit
A building permit cannot be issued with only an Improvement Pepgjt
},l PROPERTY LOCATION: 0acr5 K3�
ISSUED T0: �SSCLvGS 0(25 SUBDIVISION 0samem 0 rm LOT # SVZi-
NEWWX REPAIR ❑ EX SION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ S �3 �'" %a
Proposed Wastewater System Type: DC-s;svL-s o, SY5•5E4Q
Projected Daily Flow: "f� GPD
Number of bedrooms: _ L- Number of Occupants: max
Basement []Yes No
Pump Required: []Yes No ❑ May be required based on (nal location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well i W feet Permit valid for: five years
Permit conditions: c ❑ No expiration
Authorized State Agent.: Y15 Date: — t Y1 I) 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Depanmenl in no way guarantees the issuan other permits. The permit holder n r!pd1b1 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 .1950, .1951, .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: _N lySTS"Cat 0(2,,� PROPERTY LOCATION: D eGS VA
SUBDIVISION DACrno„t'� LOT # 1'B2,
Facility Type: 9 C3 6 T 6 -'0>< New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixres? El Yes >00
Type of Wastewater System"` o1S etc My) C„'L 0 N g75iG_M (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
aSv/v 5. (Repair)
Installation Re uir ments/Con itions Number of trenches 1
Septic Tank Size O M gallons Exact length of each trench j`�.) S feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6 inches
Maximum Trench Depth of: VR 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. TDH vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 ryrtem type speciled it diferent from the type speciled on the app/ication. l acrept the specil'cationr of this permit
Owner/legal Representative
Construction
or the intended use changes. The Construction
of the taws and Rules for Sewage Treatment and
rization shall not be transferred when
and to the conditions of this permit
Date:
Authorized State Agent: T Date: k -R st )7
Cons tion Authorization Expiration Date:
SEE ATTACHED SITE SKETCH
HTE# % ' S Oi`�� Permit # fly a 3
ISSUED TO:
Authorized State Agent:
Harnett Countv Department of 1'Tiblic Health
Site Sketch
PROPERTY LOCATON: �—') 6cs q4,
SUBDIVISION O P1Y-P�o >T, LOT # %`ia-
LN 164-10 Date:
I �
2
h O-,3 c
X33 �i
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R 37'
I
1A 6,0 CN62N0QV De�vE
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: I—N Sb%jp, Design Flow (.1949): 14-10
Location of Site: Property Recorded:
Water Supply: `J�] Public❑ Individual ❑ Well
Evaluation MethodP-,Au Boring ❑ Pit ❑ 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 I
.1956
Sapro
Class
.1944
Restr
Horiz
C.
`'-
031
g
VF l �s�
Lt
-A V_ ,U_.
VZL Ss��
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) V Evaluated By: C7�
S stem Type(s) C Others Present:
Site LTAR Lit