IPACHTE# 1-7-5-4 11-10 Harnett County Department of Public Health 29508
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: �QLL�) fl—
ISSUED TO: I v G.au,o sJ N LSUBDIVISION S weetw octfJL LOT #
NEW REPAIR ❑ EJJNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5rO (LiC'�'3$eJ
Proposed Wastewater System Type: 7.S'/ D �oucrt o „r 5Y.5-TevM
Projected Daily flow: 46 GPD
Number of bedrooms: 'i Number of Occupants: 12 max
Basement ❑Yes 5910
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '>< Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
Five years
❑ No expiration
Authorized State Agent:: ��� \�Impruemw,'
Date: 51 S1 Q SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarante
he,
. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the intended use chahall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construttion and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, AST .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: 1yEn coo lvc- PROPERTY LOCATION: FO L,--, �
SUBDIVISIONSwe�-NTCm2 LOT # 56
Facility Type: 5C-50(LI "3$� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes �XNo
Type of Wastewater System" a 5°�o yieovcn. r ON (Initial) Wastewater Flow: �� � GPD
(See note below, if applicable ❑)
�Iu .7 —70 c zr�S[o0 5—J (Repair)
Installation Requirements/Conditions Number of trenches s
Septic Tank Size Lo e) tl gallons Exact length of each trench 9 is (0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: Zl) Q inches
Maximum Trench Depth of: 36`za J inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
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.
""If applicable: / understand the system type specified it different from the type specified on the app/icatioa / accept the rpecifcationr of this permit.
Owner/legal Representative Signature: Date:
This Construction Au on . ct m revocation 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 is ct to complom e " ns of the Caws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
2niAuthorized State Agent: 5 Date: 5)5 1
Constru tion Authorization Expiration Date: S S 1 as
HTE# %'-l-5-L)),noT Permit # LcySOQ
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: �O1 GIC
ISSUED TO: �-4GIC.Z) J SUBDIVISION SwEGTwD.iCG2 LOT #
Authorized State Agent. �» �� TCI 1�t ��O(1F% Date:
60
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: L) Ch94� Design Flow (.1949): 1-W-)
Location of Site: Property Recorded:
Water Supply: �R Public❑ Individual ❑ Well
Evaluation Method:- Auger Boring ❑ Pit ❑ 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
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Stmcture�
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
to 3j
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Description Initial Repair System Other Factors (.1946):
Systetv Site Classification (.1948):
Available Space(. 1945) Evaluated By: OX
System Type(s) Q Others Present: _
Site LTAR , S
1 � ORA 0 e 36 °_ ''al