IPACHTE#1 -�-S-Li)\5L Harnett County Department of Public Health 29505
Improvement Permit
A building permit cannot be issued with only an Improve Pe it ('�
PROPERTY LOCATION: 9�OSSE1p. Y t`�+�R * Q�p
ISSUED T0: WCtav ;y A o nES �^SC SUBDIVISION e) YSrna N Cstogs)>y re LOT # a6
NEWWX REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S Ffl �StS n
Proposed Wastewater System Type: Pumli TC e T�E f . G.0 aSY3�l
Projected Daily Flow: 3 60 GPD
Number of bedrooms: 31 Number of Occupants: Q max
Basement ❑Yes �kNo
Pump Required:�es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �K Public ❑ Well Distance from well �O0 feet
Permit conditions:
Permit valid for: five years
❑ No expiration
Authorized State Agent:: \� C26N't} Date:a 1 17� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in noway guarantees the of other send. The permit holder is response a for chehing 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 Impro t Permit shall not be aliened by a change in ownership of the site. This permit is subject m 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 constmttion and installation requirements of Rules .1958, .1957, .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: f--t"`I Gq, )-ii MCS l uC PROPERTY LOCATION: Q556(7� �s[Snq,1 QD
SUBDIVISION 9)-rr1%Ps.a jZ--Qo:53)N C LOT # -)-4
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes b4o
Type of Wastewater System'* PUS, �;)5°lo Q' Oo MI5. (Initial) Wastewater Flow: 2"A O GPD
(See note below, if applicable ❑) /
P u c+n-C-'1� n �$ °(o Q.GS7. (Repair)
Installation Requirements/Conditions Number of trenches '1
Septic Tank Size S v o o gallons Exact length of each trench 10 d feet
Pump Tank Size R ca o V gallons Trenches shall be installed on contour at a
Maximum Trench Depth of'3L'A, inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: 01 Feet on Center
Soil (over: Q1.4- CP inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
`*If applicable, / onderrtand the ryrtem type rpeciled it different from the type rpedfed on the app/icadon / cement the rpecAnvions of this permit
Owner/legal Representative Signature: Date
This Construction AutAorintro ect to revaation if 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 i ect to comp revisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 96",40 Date: LA 2-7 I 1-)
aLLStruction Authorization Expiration Date: L -Z 2."l a�
HTE# �%' rJ—t—1 1\S �1 Permit # '�,..c�SOS
Harnett County Department of Public Health
Site Sketch
\\ PROPERTYLOCATON: PROss �t�r�flv
ISSUED TO: r\0 r' E* l^ L SUBDIVISION LOT # a
Authorized State Agent; ��\ �jS Lw CdllF3fl0 Date:
to
r
�'p,�nFA�c TJ2��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: 3 684-r� Design Flow (.1949): R'�O -�
Location of Site: Property Recorded:
Water Supply:I �Q Public❑ Individual ❑ Well
Evaluation Method:, Auger Boring ❑ Pit ❑ Cut
Type of Wastewatet: -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
Minenilogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
ag 36
G s>,
vCr xtsltm
�1g
�zscl
F� as Inp
45
-d G
5L,
2614
561 f
�s
Description Initial Repair System Other Factors (.1946):
System. Site Classification (1948)f';
Available Space (.1945) EvaluatedBy:o'C
System Type(s) p LVw is Others Present: —
Site LTAR _L�