IPACHTE# V, _5-41C33G Harnett County Department of Public Health 29448
Improvement Permit
A building permit cannot be issued with only an'Im,Provement Permit
PROPERTY LOCATION: W I -L LUC,P,�, Rte
ISSUED T0: �'CI-P�rS�(i �tyg� �NC. SUBDIVISION S,y�-swa,% 62 LOT #
NEW' REPAIR ❑ EXf#�SION EISite Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5,;:055 '` 0
Proposed Wastewater System Type: -r . o RCDVGs qts ZyJ- aM
Projected Daily Flow: 361 GPD
Number of bedrooms: 3 Number of Occupants: Sro max
Basement ❑Yes �No
Pump Required: Dyes ;;;ET -No
Type of Water Supply: ❑ Community
Permit conditions:
❑ May be required based on final location and elevations of facilities
**�( Public ❑ Well Distance from well feet
Permit valid for: Five years
❑ o expiration
Authorized State Agent:: �—� -'ua� �Impmnt
Date: L1 I 1 7 11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
sim is subject to revocation if the site plan, plat, or the intended use changeshall 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, .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'%I-AaT t e- Q-10Jii . 1tic PROPERTY LOCATION: Wz>,L LVCPu S 92
/—_ SUBDIVISION S,,.n'C ` know LOT #
facility Type: S�-s^'4b� New ,a❑ Expansion ❑ Repair
Basement? ❑ Yes -K No Basement Fixtures? ❑ YesNo
Type of Wastewater System"* 'Sj>L�
T o eJ s o N y 3-S `th (Initial) Wastewater Flow: 340 GPD
(See note below, if applicable ❑)
0
Qo S to
V- so,Sy `� (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size S o0 O gallons
Exact length of each trench Z O feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth ok lq-oli inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TUN vs. _
GPM
Conditions:
Trench Spacing: 01 Feet on Center
Soil Cover: fes— inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
"If applicable /understand the system type speciled it Merent from the type specified on the app/iration. / accept the speri&atimr of this permit.
Construction
Authorized State Agent:
plat or the intended use changes. The construct
of the laws and Rules for Sewage Treatment and
Authorization
Date:
nation shall not be transferred when there i'.
and to the conditions of this permit
Date: Li 1, )-1 1"l
Expiration Date: s -kr)
a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# -L-i1Q3Co Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: W 1L, l—UC1�5 RD
ISSUED T0: P1 NS t G NSA . N C. SUBDIVISION S w C6r w g7Tc-2 LOT # 5 <�
Authorized State Agent: v(2 loL '>O Date: 1-111-,
53
T
35"
CJ
r-0LLy
)J-�
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: 3� (b9<L.,n Design Flow(. 1949):36 0311
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring -2�vit ❑ Cut
Type of Wastewater: 12� Sewage ❑ 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.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (fN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
<AR
\V IN Sql^4e
3bi2�
G .5
�� lvs�np
Description Initial Repair System Other Factors (.1946): 0
System/ Site Classification (.1948):
Available Space (.1945) V V Evaluated By:�
System Typo(s) LGD Others Present:
Site LTAR , S'