IPACHTE# ♦!'Sysi% 6`I Harnett County Department of Public Health 29509
Improvement Permit
A building permit cannot be issued with only an Improvement Permj- `
PROPERTY LOCATION: FO i.a-y C
ISSUED TO: —1 V C-anx v- -s L SUBDIVISION S v4 e -c W v,'� fl -C2, LOT # SS
NEW -K REPAIR NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5'lPQ a -t% J _
Proposed Wastewater SystemTyy e: —/0 smuc r s a 4 rysFm
Projected Daily Flow: I-1` `6 GPD
Number of bedrooms: LA Number of Occupants: max
Basement ❑Yes -?KNo
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ')R� Public ❑ Well Distance from well 1 OC)4 feet Permit valid for.
Permit conditions:
Five years
❑ No expiration
Authorized State Agent: �- ��� Date: S- I s) 1—) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan (,ptAer permitt. 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 changes. The Improvement 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 Butes .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit ad shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: VG2C.0v 1+a C' PROPERTY LOCATION: o -a.,/ Gx
SUBDIVISION S«t:e� LOT # SS -
Facility Type: se p(S I rri��� New ❑ Expansion ❑ Repair
Basement? ❑ Yes --93<,No Basement �Fix�tures? ❑ Yes No
Type of Wastewater System" 2 S'1 o t� p V er, s o as aw� (Initial) Wastewater Flow: "0 GPD
(See note below, if applicable ❑) / ,S
Qu c -%`l �! a %GQ, 5-2`5 , (Repair)
Installation Requirements/Conditions Number of trenches L
Septic Tank Size L o % C) gallons Exact length of each trench feet
Pump Tank Size 1 0 oe3 allons Trenches shall be installed on contour at a
�it caEcoco Maximum Trench Depth of. inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. � _ 3 LJ 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- l understand the ryrtem type speciled is different Imm the type specibed on the application, / accept the specilcatioos o/ this permit
Signature:
Construction Authorization is
Authorized State Agent:
site plan, plat or the intended use
run of the laws and Rules for
Date:
The Construction Authorization shall not be transferred when there -1
Treatment and Disposal and to the conditions of this permit
S Date: 5 5- f-)
n Authorization Expiration Date: 5 S -
SEE ATTACHED SITE SKETCH
HTE# -5-'A11b5 Permit# 'a'lS-0`A
Harnett County Depailinent of ll�iblic Health
Site 'ketch
PROPERTY LOCATON:
ISSUED T0: i_� C c o , N G r/ SUBDIVISION 5, , , c TCz2 LOT #
Authorized StateAgent: 1�\gL�rW TOLF.Sflo(�� Date: s �S1 n
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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: >-5 C5_0a`� Design Flow (.1949):1-riO
Location of Site: Property Recorded:
Water Supply: Public❑ Individual El Well
Evaluation Method: Auger Bo 'ng ElPit ❑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
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (W.)
.1956
Sapro
Class
.1944
Restr
Horiz
N 3d
sg�[ G'
Fn 3
36 -L)b
5,q1? sc L
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P j •
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o.�
31
Nw. 1
Description Initial Repai System Other Factors (.1946): A t
S ste Site Classification (.1948):1 J
Available Space(. 1945) Evaluated By:
System Type(s) -/t, 2 Others Present:
Site LTAR
��o� 36=4C, P��e�