IPACHTE# 17-5-LA146CD Harnett County Department of Public Health 29534
Improvement Permit
A building permit cannot be issued with only an �Ins-Provement Perm
PROPERTY LOCAT N: \'P.scyrb.X LL 8-16.
ISSUED T0: Eo V i�io M SUBDIVISION T s"ir,%%m Cc:Uss vy G LOT # 10
NEW15< REPAIR ❑E�1 NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFO (4+ -"AST
Proposed Wastewater System �Type: +tib to QcnGrYO M
Projected Daily Flow: 3 too GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community _,*15< Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: r Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the s of other permin. The permit holder is�hle for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the sire plan, plat or the intended use changes. The ImprAftiakt Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws 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 are incorporated by references into this permit and shall he met. Systems shall be installed in accordance
with the attached system layout. \ `
ISSUED TO: PROPERTY LOCATION: rP.'(LFp�4
SrcD x255* SUBDIVISION 05 "-Pili C.raaSsxaG LOT# 10
Facility Type: L�� New ❑ Expansion ❑ Repair
Basement? ❑ Yes �K No Basement Fixtures? ❑ Yes �Qlo
Type of Wastewater System** S°/o R�rAVG�\Ow SySSGM (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) o
ftiksl y'§MvX_xf 0141 S s73a !hL (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 100(' gallons Exact length of each trench 300 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: )'Vd�4� inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t. TDH vs. GPM
Conditions:
Trench Spacing: 01 Feet on Center
Soil Cover: 6" Y%: 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 ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l understand the ryrtem type rpecihed it different from the type rpeciffed on the application. / accept the rpeciiicanimr of thin permit.
Date:
Ibis Construction Authorization isilableAAls revocation 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 Authorization is su kt to covin �e visions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: _'N�, jay Date: G)67
Authorization E%Dlratlon Date:
HTE# y1 -5 L1)L16O Permit # ZLO 3S -{
Harnett County Department of Miblic Health
Site Sketch
PROPERTY LO(ATON: OctwL-
ISSUED TO: 0t" C-5 tt SUBDIVISION Q,>>MgN Ga055\NC LOT# lD
Authorized State ADate: 6 IS1
� I
140us6 I Zi
rP'RYPY DcZ
. epartment of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant
Address: Date Evaluated: \
Proposed Facility: 3 6 0Q Design Flow (.1949): 3(a
Location of Site: Property Recorded:
Water Supply. Public❑ Individual ❑ Well
Evaluation MethugerB 'ng ❑pit ❑Cut
Type of Wasteavater: 111 �ewage ❑ Industrial Proms
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Sim:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
E
.1940
Landscape
Posuboal
Slope Yo
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Horizon
Depth .1941
(In.) Structure/Consistrnce
Texture
.1942
.1941 Soil .19/3
Wetness/ Svii
Min Colon
.1956
Sapro
Class
.1944 Profile
Restr Clews
Horiz A LIAR
LS
Y �
Description Initial Repair System Other Factors (.1946): o;
S Site Classification (.1948):
Available S e (.1945 Evaluated By: (M
S tun T s Z+S / Others Present:
Site LIAR , -s„