IPACHTE# F)Harnett County Department of Public Health 29504
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1 t Zt��a Q r
ISSUED T0: i H O MPa� 4 �� E G ON 11 SUBDIVISION '-Vico rr%pg lisp ba LOT # 5
NEWjI REPAIR ❑ F�ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SR9
Proposed Wastewater System Typp gyp" S °'C_r n Cx a a,y 5-JM-J(—:M
Projected Daily flow: 36� GPD
Number of bedrooms: pumber of Occupants: 6 max
Basement ❑Yes )ErNo
Pump Required:'81'es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community *X Public ❑ Well Distance from well 100" feet
Permit conditPermit valid for: Five years
om�
`\ ❑ No expiration
Authorized State Agent:: Date: L -i
The issuance of this permit by the Health Department in no way guarantees the issuanc cher permits. The permit holder is res onsible for <heckin with SEE ATTACHED SITE SKETCH
is
site is will to revocation if the site pian, plat or the intended use chanRes. The Impreverent ermit shall not be affected by a change in ownership of the asiitte.pTh s permit iisgs bjectsto compliance in meeting hwithethe rprovisions hof
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
squired for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1959. and
with the attached system layout .1959 are incorporated by references into this permit and shill be met. Systems shall be installed in accordance
n
ISSUED TO: Iv+Uccloss Rye QW0rtp�j PROPERTY LOCATION: —Ill
SC�9C`aS r7 SUBDIVISION I a Qt+lwS KTCQ LOT # S
Facility Type: 6 New ❑ Expansion ❑ Repair
Basement? ❑ Yes ;k No Basement F' ures? ❑ Yes XNo
Type Wastewater System Py a� 1 p ySO/d V G^, L 0?4 S� 6-n (Initial) Wastewater Flow: -?>60 GPD
(See note below, if applicablele ❑)
UMe
Installation Requirements/Conditions
Septic Tank Size L t5 o O gallons
Pump Tank Size 1 00cD gallons
Pump Requirements: —ft. TON vs.
Conditions:
(Repair)
Number of trenches Li
Exactlength of each trench D feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: III 3Lal inches
(Trench bottoms shall be level to +/_I/4'•
in all directions)
GPM
Trench Spacing: f Feet on Center
Soil (over. 6-',a 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 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 rpeafied it different from the type rperiled on the app/iration. /accept the Jpeudradonr of thi permit.
Owner/Legal Repre Signature: Date:
This Consmctian Authori:adon is subjett to re n i site plan, plat or the intended use flanges. The Construction I I:::iration shall not he tmnslerred when then is a change in ownership of the site. This
construction Authorization is s omplian " the f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construction Authorization Expiration Date:
HTE# 1-7 Permit # ZL9s0y
Harnett Connty Department of 1'ublic Health
Site Sketch
ISSUED TO:
Authorized
r�6L9 `T o ti 6
Lc�7� ov-, Ac'TEa
LCJS � S GLC-.DCLC-Si
PROPERTY LOCATON:1i22p11 0C)N cEjL-
SUBDIVISION 0c,pwg LaawTEslt LOT# 5
(S)L, TOLY-MyDate: Llla6l%
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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: 9 (5 D2M Design Flow (.1949) aged
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method A�g"er B0 ng ❑ Pit ❑ Cut
Type of Wastewater: —Ek$ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
FSOIL
1
L
E
#
.1940
landscape
Position/
Slope%
Horizon
Depth
(In.)
MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth IN.
Sapro
Class
.1944
Restr
Horiz
/y
t)'
c%'��
z
�-lo
GSL_
.rs.. tisl„P
3
4g
Y5
G S
Vt�LdS�.
1j Irk
G _5 L
n
CL TA -51 1°K
51 b
\":?L "6)) '
5.4
Description Initial Repair System Other Factors (.1946):
Svstotfi Site Classification (.1948):Q)
Available S ce (.1945) Evaluated By: Dr(
S tem T e(s n Others Present:
Site LTAR ..�