IPACHTE#_Harnett County Department of Public Health 29447
Improvement Permit
A building permit cannot be issued with only an Improvement Permit p
PROPERTY LOCATION: W a L Los-' i..fl
ISSU D TO: AT LPat4r1 sc— Co,3SS 1T1G SUBDIVISION _ -ZA r m a Psi" LOT #
NEW4 REPAIR ❑ EAP I ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SCO CS S "n
Proposed Wastewater System Type: a C`a a eoo Cns o t S ; Un
Projected Daily Flow. 3t;0 GPD
3 Nu
Number of bedrooms: mber of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes �No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community %3L Public ❑ Well Distance from well feet Permit valid for, ve years
Permit conditiam�
o o expiration
Authorized State Agent: ftz,—M Date: A9 1'1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaranties �mwmce of other permits. The permit holder is reslionsible 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 tesprovement 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, .1952, .1954, .1955, .1956, .1957, .1956. 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: _�5 z taa�pt�C.. C.otvs5 , C PROPERTY LOCATION: N 1z L Lvt ps R
SUBDIVISION Sw945n Wg i E2 LOT # 6
Facility Type:�sS�x6p� New 11 Expansion EJ Repair
Basement? ❑ Yes -X No Basement Fixtures? ❑Yes No
Type of Wastewater System** ra !VA �ED V GN o 4 Sy (Initial) Wastewater Flow: 3Ei� GPD
(See note below, if applicable ❑)
6
��`�- �� R.�• Sy (Repair)
Installation Requirements/Conditions Number of trenches L
Septic Tank Size � 00 0 gallons Exact length of each trench ago feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 3fo inches
(Trench bottoms shall be level to +/_I/4"
n all directions)
Pump Requirements: ft. TDM vs. _ GPM
Conditions:
Trench Spacing: ot Feet on Center
Soil Cover: aL_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
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: /understand the Jynem type rped6ed it diff t from the type rpeciled on the app/iration. /accept the 1peafmationr olthi permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to if the site plan, plat, or the intended use changes. The Construction Authonation shall not be transferred when there is a change in ownership of the site. Thu
Canstnrclion Authori:adonto compha 'th inions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: QC -V,5 Date: k 1-7 J )
struction Authorization Expiration Date: 1-z 111
HTE# �, —5—L-11O—Y� Pe rm't At
ISSUED TO:
Authorized State Agent:
i
Harnett County Department of niblic Health
Site Sketch
PROPERTY LO(ATON: L\Jc.pS 15
,0
�1S t L C-0 i V G SUrrBDIVISIONS w wqt —, <fL LOT # (�
l9i 1JGQfT0 write: 4I17I1�
M-
1 15,3 , ISS'
HDvSC
FOLL-v G\
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 a4(Lv' Design Flow (.1949):`3 66 y
Location of Site: Property Recorded: 51
Water Supply: Public❑ Indiv'dual ❑ Well18
Method:❑ Auger Boring El 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
#
.19401941
Landscape
Position/
Slope%
Horizon
SOIL MORPHOLOGY
OTHER
PROFILE FACTORS
Depth .1941.1941 .1942
Soil .1943
.St.1956
(InStructure/ Consistence Wetness/ Soil Sapro
Texture Mineralogy Color th(IN.) Class
v ate ssx s �` �n 551
c<
3b G 5 VFt Ns1rC
.1944 Profile
Restr Class
Horiz <A.
P5 �
Description Initial Repair System Other Factors (.1946): Q,
S ste Site Classiion (.1948):
Availace(.]] 945) Efcatnoted B
Systemm T T s) V � Y�
Site LTAR
Others Present: