IPACHTE# Harnett County Department of Public Health 29544
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
(�` \\ PROPERTY LOCATION: 31 SymcnGZA-`N �ci..,
ISSUED TO: Vg1.6C--'5 -) 05.2 lc *r O e 1 09"10 SUBDIVISION S u .. n+Gn L .a LOT # 3
NEW' REPAIR ❑ EXPgNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5'Fo
Proposed Wastewater System Ty e: e1—S;' o -a vtxhtl jaSQbPt1
Projected Daily flow: GPD
Number of bedrooms: 2''1 Number of Occupants: CL max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I. Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
Authorized State Agent: QW,
The issuance of this permit by the Health Department in no way guarantees the
site is subject to revocation if the site plan, plat or the intended use changes. The Impn
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date:
'XFiveyears
❑ o expiration
SEE ATTACHED SITE SKETCH
permits. The permit holder'is resluonsible Tar checking with appropriate governing bodies in meeting their requirement. This
'ermit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The ronstmction and installation requirements 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: Qg'(M-NSNanc CO27"m PROPERTY LOCATION:3� 5u`l%ty L," J �n
SUBDIVISION G QZ,L-.ya LOT #
Facility Type: �� �a�tl "ya� New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'V, No Basement Fixtures? ElYes D
Type of Wastewater System* %u tuouCssbo N 5SG>cn (Initial) Wastewater Flow: Luis GPD
(See note below, if applicable ❑)
2.S7l0 'QGD uCr, %uZ nt 5-"'5'95nRepair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size Loud gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 100 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Trench Spacin&: 9 Feet on Center
Soil (over. C—)a 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: / ondersmad the system type specified is dfhii from the type speeded on the app/fcaaon. / accept the specifications of this permit
Representative Signature:
Date:
This Construction Authorna is subject to revoation 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 u ect ' m c i wv rovisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized StateAgent:�'S Date: 4 )3 Yl
s�truction Authorization Expiration Date: D3
HTE# 7 - S - Li 1ST
Permit # �`IS-4ti
Harnett County Department of Public Health
Site Sketch
PROPERTYLOCATON: 3) somr,)alL-)'j
ISSUED TO: Vc G uN �1L�M �O�E� SUBDIVISION Sv, nrvv— QN j LOT # 3a
Authorised State Agent: Date:
S�
r E2lt N
133 r �4•y!
r N r gyp'
N9
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: y 000."� Design Flow (. 1949):1'41Cj 5e y
Location of Site: Property Recorded:
Water Supply:�Si Public❑ Individual E] Well
Evaluation Method-..IS,Auger Bo 'ng ❑ Pit ❑ Cut
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.I
Sapro
Class
.1944
Restr
Horiz
O I.4 %%
Description Inti 1 Repair System Other Factors (.1946)-
Sys
946):S s can Site Classification (.1948):6
Available Space (.1945) V I Evaluated By: 0,1—
System Type(s) O.S h Others Present: —
Site LTAR