IPACHTE# 11_�-5A PVA 14 Harnett County Department of Public Health 29533
Improvement Permit
A building permit cannot be issued with only an /Im�provement Permit
*p (J PROPERTY LOCATION: L'.C' Lis
ISSUED TO: '" l c�usE K\XT SUBDIVISION y O'o �e C-l'.i LOT # 3
NYW)K S E�PTA,IR ERPANS�ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: i� J
Proposed Wastewater System Type: 2,S°/n 'RGaVGs V a
Projected Daily Flow: 3Se4zs GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 'R No
Pump Required: ❑Yes �M No ❑ 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:UZ} Date: 5) 3 0 s� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in mi way guarantees then I other permit. The permit holder is respo Bible far 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 Improve ermit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provision of
the Laws and Rules for Sewage Treatment and Disposal and m conditions of this permit..
Construction Authorization
(Required for Building Permit)
The commission and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1950. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system
layout V
ISSUED TO: t 1a uSE PROPERTY LOCATION: Qw oyll
SUBDIVISION "SV O a.o LOT #
Facility Type: `-�O L�� '�-1�� New ❑ Expansion ❑ Repair
Basement! ❑ Yes -19 No Basement Fi ores? ❑ Yes X No
Type of Wastewater System** aS°/tC�S�VC\ o,J SvSjG� (Initial) Wastewater Flaw: GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size food gallons Exact length of each trench t$a feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: N'at s inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t. TDM vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. ro-1A 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 LOFT. 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 spec/hed it different from the type spedfled on the applievion. / accept the specifications o/ this permit
Date:
This Construction Authorization is so o revocation if the site plan, plat. or the intended use changes. The Construction Authomation shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subj�.tg_complian the ions of 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
Authorization Expiration Date:
HTE# 17 -5 t -i) L) \ l Permit # a�S33
Harnett Countyy Department of Public Health
Site Sketch
PROPERTY LOCATON: C) w liSit�.�
ISSUED T0: �v16 USE �US Zp// SUBDIVISION LOT #
Authorized State AgentrOL40j) Date: S13)1)-)
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: 3 Q9Q� Design Flow (.1949):3 60�
Location of Site: Property Recorded:
Water Supply: XrB
ublic❑ Individual ❑ Well
Evaluation Method: Aung❑ Pit F-1cut
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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
3v
5
vr✓n 51-ro
La
ss,�3
ero, syreaP
�5
C-)9
6 5
dr(` a5f �e
-50-14
Z,6 oZ
�2 �x�
� d xz.OL Lab
Ps
_ L�
Description Initial Repair System Other Factors (.1946):
S st Site Classification 1.1948).
Available Space (.1945) Evaluated Bye
Sys tem T e(s) Others Present: _
Site LTAR -�5