IPACHTE# ICs' S 3i3-1-1. Harnett County Department of Public Health 29538
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NC' nz',JD
ISSUEDTO:SouST6o4:EpAs GcN.Opt, 1n,c SUBDIVISION LOT#
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SC��`50 x4B7
Proposed Wastewater System Type: aS�/o" u"to *% SyST Etc.
Projected Daily Flow: C;00 GPD
Number of bedrooms: S Number of Occupants: TC) max
Basement ❑Yes o
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions;_
No ❑ May be required based on final location and elevations of facilities
❑ Community X Public ❑ Well Distance from well feet
Permit valid for. Five years
❑ No expiration
Authorized State Agent:: �- \��� G 6�5 Date: 6 I') 117 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Departmen in no way guarantees �ysua_� nce of odor permits. The permit holder n rTespo si�or 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. Theimpromment 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 comemttion and installation requirement of Rules .1950, .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:Sovs�t�As2H Gcr. Co", 1Nc'. PROPERTY LOCATION: NC.blwy�l0
SUBDIVISION
Facility Type: t� �°h0 xy�I� New ❑ Expansion ❑ Repair
LOT #
Basement? ❑ Yes '�X No
Basement Fixtures? ❑ Yes �No
Type of Wastewater System"
Q -4Z0/4 R� juc Sia 2 SSS i E�+
(Initial) Wastewater Flow: X00 GPD
(See note below, if applicable ❑)
aS°/o �.60.
(Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size I aS0
gallons Exact length of each trench -70 feet
Trench Spacing: 9 Feet on Center
Pump Tank Size
gallons Trenches shall be installed on contour at a
Soil Cover: 6- inches
Maximum Trench Depth of: t 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:
N. TDH vs. GPM
inches below pipe
Conditions: s S vT G
Sec G -S GH �e 2 ®_s s
Aggregate Depth: inches above pipe
gi
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable, / underrtand the spem type specified is different from the type sped/ied on the app/icadom / accept the rpedlrations of this permit
owner/Legal Representative Signature: Date
This Construction Authomation is $u vocation 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 m ect to mnnpli wit ns of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: &(�1i5 Date: 6 q Y
Construc on Authorization Expiration Date:
NTE# 16 - 5- 3%6 --1 a Permit # �,95�
Harnett County Depailinent of lNiblic Health
Site Sketch
PROPERTY LOCATOu- N ( N""' 41.0
ISSUED TO:CON • 1NG SUBDIVISION
Authorized State Agent:
t30CI
6L1 V 62-TOL)MZ0gt ) Date: 11
LOT #
H psq (— E i�) 0 U No
MNV_GCi �`J �LOry 1AL.
co iJ Oi E.1V G2UAGl-1 Qni
9)962-7N6 CPSEr�E 1
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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: Design Flow (.1949): 6n� \
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation MethodFt2,,Aug Boring [I Pit ❑cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
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
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
®.S
G L5
Vp1 0sl
\S 3�
-,6,t SCC
Fn '55 15f
`l s
2
ass
G `s
\yam „tsl vo
ia)Q�la, @_3()\,
PS
,s
G 15
yin >vs�ve
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ssK
Tn tu)5r
P5S
5cL,
l
to i,z 1X37 .
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): f5
Available Space (.1945) Evaluated By:o<
System Typo(s) Others Present:
Site LTAR •415,
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MVSt