IPACHarnett County Department of Public Health 29511
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: FOTx-A
ISSUED T0: ``/C.sLCCAN `VG SUBDIVISION SwGMiwPCK-erL- LOT#
NEWW)K REPAIR ❑ EXPA ON(ISJ ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S -=IM Cs-R�T' J�--
Proposed Wastewater System Ty e: S�R6ovGs o,, c, —A� m)
Projected Daily Flow: L-f%g GPD
Number of bedrooms: ut Number of Occupants: max
Basement ❑Yes 'r'�ijo
Pump Required: []Yes �:M No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '1W Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions:— ❑ No expiration
Authorized State Agent:: ���\tZlr--)5 Date: S )5 � 1—� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the isfuan L,�er permit. The permit holder is respons b for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revonnon 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 Permjt)
The construction and installation requirement of Rules .1950, .1952, .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: tY SC2CO '4 N G PROPERTY LOCATION: F0"--4 C�
SUBDIVISION SNeci IFIL LOT # .
Facility Type: SFO )9,, New "El Expansion ❑ Repair
Basement? ❑ Yes -':KNo Basement Fixtures? ElYes No
Type of Wastewater System" Solo X60 V&0 a u (Initial) Wastewater Flow: L'�gd GPD
(See note below, if applicable ❑)
`Q_
i.;a
to
Ram. Sys. (Repair)
Installation Requirements/Conditions
Number of trenches )
Septic Tank Size lO o 0 gallons
Exact length of each trench Q640 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. -3G-a" inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: ft. TUN vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. 14 sa inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
."If applicable: / understand the system type specded is different from the type specified on the application. / accept the rpecibcationr of this permit.
Date:
This Construction Authorization is subje cation 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 Authori:atimn isett to mmplian t isio the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: S' s T
Constru ion Authorization Expiration Date: S ;
HTE# 1-1-5-1-1116-1 Permit # 2,9C 11
Harnett County Department of 11�iblic Health
Site Sketch
PROPERTY LOCATON: rOLLY G'S
ISSUED T0: - co i v G SUBDIVISION Swfcww9%yelL LOT # 63
Authorized State Agent: Q(mi CoL�vEIL-ToLKspa� Date:
*GALL 0M,0(L,T0
L-L-P.,C l o N
�(1.6Nfaa '�BvTli
C, Or
F'o L.i, -y G�
Tqg"
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!--) '�!i 2i� Design Flow (.1949): �401c
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method".Au er o 'ng ❑ 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
Structure
Texture
.1941
Consistence
Minemloy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Resu
Horiz
ex
1 Af
G 5
rpt 1'q
cr-r\ "I VQ
ari �C
sgusu
FL %I)v
ZC
\k:1
O-�
GLS
Vrl *tsiKP
C3��1
5811sCL-
tr' shop
k Y
t� u
Rn w5
Description Initial Repair System Other Factors (.1946):
S st 7 Site Classification (.1948):��
Available Space (. 1945) V V Evaluated ByXtNl�
System Type(s) Others Present:
Site LTAR $— _