IPACHTE# I-7-5-11 I33fo Harnett County Department of Public Health 29522
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
Co Gv- PROPERTY LOCATION: NGS 1 a
ISSUED TO: Cp.` Lrr 0o j ra SUBDIVISION LOT # T
NEW W REPAIR ❑ MANSION ❑
Type of Structure: Svc) (5a�/
Proposed Wastewater System Type:
Projected Daily flow: 1p G O GPD
Number of bedrooms: 13 Number of Occupants: '� max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions. ❑ No expiration
Authorized State Agent: Date: 5 P� 1 1-1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan er permits. 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 Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 art incorporated by references into this permit and shall be met. Systems shall be installed in accofdano
with the attached system layout.
ISSUED TO: L c''`t Cc r'5—, Co - PROPERTY LOCATION: NC.`Z3)
SUBDIVISION
Facility Type:5 sem) J� c� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtups? E:1 Yes boo
Type of Wastewater System** 50;' ',,/C, �v V d;CA 0.0 "`:576tr% (Initial) Wastewater Flow:
(See note below, if applicable ❑)
Conditions:
LOT #
3C a GPD
Trench Spacing: 9 Feet on Center
Soil Cover: �nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 .rystevo type spealed it dilereot from the type spec/led ovy the app/ication. / accept the rpecilcationr of this permit
Owner/Legal Re e�sentative Signature: Date
This Construction Authorizationis su vocation if the site plan, plat, or the intended use changes. The Concoction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is su "ect to complia visions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this peril SEE ATTACHED SITE SKETCH
Authorized State Agent: 4 S ' Date: r- 3-a. 0
Cons ttion Authorization E%Dlratlon Date: (S -10 -ADDS
(Repair)
Installation Requirements/Conditions
Number of trenches a
Septic Tank Size gallons
Exact length of each trench feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: t48 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs.
GPM
Conditions:
LOT #
3C a GPD
Trench Spacing: 9 Feet on Center
Soil Cover: �nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 .rystevo type spealed it dilereot from the type spec/led ovy the app/ication. / accept the rpecilcationr of this permit
Owner/Legal Re e�sentative Signature: Date
This Construction Authorizationis su vocation if the site plan, plat, or the intended use changes. The Concoction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is su "ect to complia visions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this peril SEE ATTACHED SITE SKETCH
Authorized State Agent: 4 S ' Date: r- 3-a. 0
Cons ttion Authorization E%Dlratlon Date: (S -10 -ADDS
HTE# )) - 5"� 133�o Permit # aoisaa
Harnett County Department of Public Health
Site Sketch
I PROPERTY LOCATON: 0"\O&
ISSUED TO: GA TdN �NSi•CO,r- SUBDIVISION 1 1 LOT# P
Authorized State Agent: �\5 �+ t—`�� ol�csov t� Date: 5 I11�%
�r.--�)O S
C 0 ^ eNtiJ
�l�
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOUJSITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: -d u�, Design Flow (.1949): 3C0
Location of Site: Property Recorded:
Water Supply: Public❑ Individual C] well
Evaluation Method: �uger B 'ng ❑ Pit ❑ Cut
Type of Wastewater: -la-Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
landscape
Position/
Slope%
Horizon
Depth
(In.)
SOI. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistamce
mineralogy
.1942
Soil
Wetness/
Color
.1943
soil
Q4.
.1956
Sapro
Class
.1944
Rest
Hora
`S
7
��
3'��C•�3Z
'�"(6'
S
025
a wVIC
s
Description Initis Repair System Other Factors (.1946):
S Site Classification (.1948):
Available S ce (.1945 Evaluated By:
System Type(s) Others Present:._
Site LTAR