IPACHTE# l s' X1131-1 Harnett County Department of Public Health 29527
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: F-ii0rL6ez�
ISSUED TO: 1 aa_ i E ii Gs7.Q\6� SUBDIVISION LOT #
NEW cy REPAIR ❑ XPANSION ❑ t Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Pates .� �0 M E W$ ,l -aa 0
Proposed Wastewater System Type: 25`/e RZO zf.S 10 N gys' r, r\
Projected Daily Flow: 3G0 GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑YesNo
Pump Required: Dyes < "o ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: _ s ❑ No expiration
Authorized State Agent:: 7!� " 1A S Date: 3 ) Z6 11:3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the he e`of other permits. The permit holder is responAble for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it 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 .1958, .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: W 1LLNF.�C-1..C1A6nrC PROPERTY LOCATION: '7—LoD6NCf- OCL
SUBDIVISION — LOT # Z
Facility Type: t" 1 psN H o a e New ❑ Expansion ❑ Repair
Basement? ❑ Yes '�X No �Bent Fixtures? El.:Yes �o
Type of Wastewater System** no x�uc1 0 ti sib- (Initial) Wastewater Flow:3� GPD
(See note below, if applicable ❑)
ZSo/e QeP. S -as. (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size tiger 0 gallons Exact length of each trench Iff feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of tQ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. _ GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. 6 inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type speciled it different lom the type specified on the app/icatioa / accept the rpecificatianr of this permit
Date:
Construction
intended use changes. The Construction Authorization shall not be transferr
and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: RSa Date: _
Constru lion Authorization Expiration Date:
a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
NTE# 1-� -S L) )31-i5
ISSUED TO:
Authorized !
Permit #
Harnett County Department of Public Health
Site Sketch
PRAURTY inrATAN.
1�7 ,P4 CZl
LOT # Q
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOI: (SITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility:—p <�bcxl,c— Design Flow (.1949): j(C7
Location of Site: g Property Size:
Property Recorded:
Water Supply: ublic❑ individual ❑ Well ❑ Spring
Evaluation Metliod:Au on
[3 pit
❑Cut
Type of Wastewater. ewage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horimn
Depth
(In.)
SOIL MORPHOLOGY
.1941
StmStructure/ru.1941
Consistence
Texture Mmeialo
OTHER
OTHER
FACTORS
.1942
Soil .1943 .1956
Wemesd Soil Sapm
Color IN. Class
.1944 Profile
Resr Class
Ho & LTAR
35-
OQ'a
C L
\/FL
3
0 G S�
VFX;1,r
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): C- J
Available S ) .1945 Evaluated By�
LTA
S LTA ss2S:t` � U�crcA'S.),'V.iAJ Others PresemQ_*
Site R