IPACHTE# 1--) Harnett County Department of Public Health 29503
Improvement Permit
A building permit cannot be issued with only an Improvement ba Permit
n� PROPERTY LOCATION: Stla ( i%NI LAR
ISSUED T0: �t2fo-lvvflP� �OA ZD IS Z SUBDIVISION LOT #
NEW IC REPAIR ❑ EXPANSION ❑
Type of Structure: ✓r1Qset HOME
Proposed Wastewater System Type: CXZTio REavcf s�, l S�ss�.c.
Projected Daily Flow: g -1'$C) GPD
Number of bedrooms: » Number of Occupants: i�. max
Basement ❑Yes 'J� No
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
-"& No ❑ May be required based on final location and elevations of facilities
❑ Community X Public ❑ Well Distance from well feet
Permit valid for. Five years
❑ No expiration
Authorized State Agent.: �Imemem
Date: L% l "� 117 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantee. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
sire is subject m revocation it the site plan, plat. or the intended use chanhall 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 shalt be met systems shall be installed in accordance
with the attached system layout.
ISSUED T0: $cabrvon, CoNzALE-2 PROPERTY LOCATION: Splaf Zl A s L tJ
SUBDIVISION — LOT # I
Facility Type: 1�Oc�G lva'�IV New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Bazement Fixtures? ❑Yes �No
Type of Wastewater System** �-S��a �GDUts� t) f Sym C- h-, (Initial) Wastewater Flow: LNO GPD
(See note below, if applicable ❑)
a..S"/o (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 100 ce gallons Exact length of each trench aLaO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Q. "'A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: q Feet on Center
Soil Cover: 1a inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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:/ nnderrtand the ryrtem type rped1fed it diherent from the type spe6fed on the app/icatioa / accept the rpecificaiionr of this permit.
Date:
This Construction Authinin revont n it 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 iLmillsect to comillince w inions of the Laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: R.G-.115 Date:
gruction Authorization Expiration Date: 16 a
HTE# ��'S-��la,� Permit # a�5Q3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: o, GoN z�tC—,Z SUBDIVISION — LOT #
Authorized State Agent: i*s�lbLtVon Date:L1_�
aN6'
SABPS3)AN L.+.i
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility:l4ft%2,, - Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well ❑ Spring
Evaluation Method Au er Boring ❑ Pit ❑ Cut
Type of Wastewater:, Sewage ❑ Industrial Process ❑ 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
D [h (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
Ls
�.y�
s +—
S5 IK- $C�
es
36
i 3
)H -N
yg�xt
P5�
Description Initialair System Other Factors (.1946):
S ste RepSite Classification (.1948)RS
Available Space (.1945) EvaluatedB
System T e(s)Others !r Present::
Site LTAR . s 6