IPAC37
NTE# I�'S'� 133 Harnett County Department of Public Health 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: k nEy ie:.Am LCC lcSy4
ISSUED T0: GPS"SSO l NS'C . CO , SUBDIVISION LOT #
NEW- REPAIR ❑ EXPANSION ❑
Type of Structure: SFp (std �lC-
Proposed Wastewater System TYpe: Vvxw+ -Te e toNSYS-sc- �
Projected Daily Flow: 3b GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump RequiredXYes ❑ 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 conditions:
Permit valid for:
Five years
❑ No expiration
Authorized State Agent:Qfci1 Date: 6 ) 7 11-7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees uance of other 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 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, .1957, .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 T0: G ws-17704r`4 Co 44:51x , Ce • PROPERTY LOCATION: LE C s o N
SUBDIVISION — LOT # $
Facility Type: 9FD� 5 53� New ❑ Expansion ❑ Repair
Basement? ❑ Yes �X No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Q vmQ�S-. '�°�e Co�GtON SYSTEM (Initial) Wastewater Flow: 3i ii GPD
(See note below, if applicable ❑)
aS6lo'ZC:Dvc<Sot� (Repair)
Installation Requirements/Conditions Number of trenches s
Septic Tank Size s o 0 o gallons Exact length of each trench 5 D feet Trench Spacing: Feet on Center
Pump Tank Size s oot, gallons Trenches shall be installed on contour at a Soil Cover, 7C-,7—Inches
Maximum Trench Depth of: 11% inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft TON vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: Ss.c cv )>E- S ,« c>a "V-7-0ct, CiUn" pew fl dLIXa0 Q6 Q u 124- fnE;,rs inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
*"If applicable: / understand the system type speahid is different from the type spedfed on the app/icatioa / accept the specifications of this permit
Date:
This Construction Authorization is sub l 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 ect to comp rovisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this pertain. SEE ATTACHED SITE SKETCH
FtthorizedState Agent: Qfcl� Date: G)-) 1
Construction Authorization Expiration Date: 7 I Za
HTE# 1 3 K Permit # �"�531
Harnett County Department of 1"nblic Health
Site Sketch
PROPERTY LOCATON: Porn E2 J Ls. C
ISSUED TO: _C z�i oma SUBDIVISION — LOT # g
Authorized State Agent: ��\ RGa+>inz+v Cotcsao{$� Date: I71 7
N L 2 1D 60" R�w
169'
� S VP¢Ly
��N lr Si,v at9 50L.•il
+_ _ �
i�6i1
8E 3t��06FR
vNofft-
f�
S Liu 6D
pct+vE
az
53 —�
H d uSE
L 7-
P
ro
a
�
�
o
f
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOII/SITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):36 O fie
Location of Site: Property Recorded:
Water Supply: Public[] Individual El Well
Evaluation Metbo3; Auger Bo ' g ❑pit ❑Cut
Type of Wastewater: [)-�ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Sim:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOI, MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
I4.
.1956
Class
.1944
Restr
Hmiz
Profile
& LIAR
LS
o -'�'6
Description Initial Repair System Other Factors (.1946):
System, Site Classification (.1948):
Available Space (.1945 Evaluated By:
System Type(s) a 5` (L,(.� Others Present:
Site LTAR ZS