IPACHTE# 1-1-5' 4 Harnett County Department of Public Health 29539
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
t� PROPERTY LOCATION: GI sv N Oa.
ISSUED TO: CH AcT1 E5 p U >_L SUBDIVISION -Ts tw%966g, LI r6 Cep-ZM M5 LOT #
NEWX REPAIR 11 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M kv.j . la ott%& (Sr.*A ZLL0
Proposed Wastewater SystemTjpe: a -S% ys-frvv
Projected Daily Flow: 360 GPD
Number of bedrooms: ls Number of Occupants: e! max
Basement []Yes �00
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 het Permit valid for.
Permit conditions:
Five years
❑ No expiration
Authorized State Agent: `216�Q- Date:61 CA I )I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i `ol other permits. The permit holder is responsible for checking with appropriate goveming 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, .1957, .1954, ASS, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the arched system layout
ISSUED TO: G-S0QT-E54��LL PROPERTY LOCATION: C5 ��ovc�y Oct
SUBDIVISION S s T-Oas9"s r+6 ;tat _ LOT # �_
Facility Type: 1Y1shr,ia07%S (s6 �� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'X No
Type of Wastewater System** 25"y o 96o A)G: s o t4 (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Co. S—/r., (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size Loo d gallons Exact length of each trench 100 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of:lB 2 (� inches
(Trench bottoms shall be level to +/-I/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: G-1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the swem type spec/h"ed is oi7erent from the type spec/bed on the app/nation, l accept the speulcationr of this permit.
uwner/Legal Representat Signature: Date:
This Construction Authorization is subject to 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 sub�n complia O 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: Date: Q
onstruction Authorization Expiration Date:
HTE# ' S' L� Ian` Permit # Z53°l
Harnett County Department of Public Health
Site Sketch
PROPERTY LOLATON: GS 5-)0t r -i 1—�a
ISSUED TO: �A �V� 1— SUBDIVISION 1 ir,gtn2 oF— &sS W. Cs LOT # g
Authorized State Agent: QfFTfj `0 i,v T0LX590 Date: 11
T
Gd
SYortE % pQ,w �
aa3 '
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: 4 r^ Design Flow (.1949);3 60�
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring -EJ Pit ❑ Cut
Type of Wastewater: la 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
Pmfile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.)
Sapm
Class
.1944
Restr
Horiz
LS
G SI.,
VRL r4,4_19
Fn 6/-?
@ 3�
Pj
SL
vo r6 he
av
c
qF)
�.16V 40
3 '•
M ',
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): 'P5
Available Space .1945)Evaluated By:
System T e(s) a.S 2 Others Present: GS
Site LTAR