IPACHTEs-i4 )1�4Q1�', Harnett County Department of Public Health 29660
Improvement Permit
A building permit cannot be issued with only an Improvement Perini
{Q� C
ISSUED T0: PROPERTY LOCATION:__�Sc�iGLta
Via-� P1.J �sA- SUBDIVISION '-- LOT # 3 �
NEY REPAIR ❑ ENPpNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of tructure: T li"i" I -I - lawn 7C;
Proposed Wastewater System Type: a �C— s �I q L
Projected Daily flow: "'60 GPD
Number of bedrooms: L-) Number of Occupant: max
Basement ❑Yes >< No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well het Permit valid for. five years
Permit conditions:
❑ No expiration
Authorized State Agent:: ---"-Z\ �261-)5Date: cp I0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the instanter permin. The permit holder is respormib for decking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation if the site plan, plat. or the intenre ruled use changes. The Improvement ermit shall not he affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the Lam and Rules for Sewage Treatment and Disposal and m conditions of this permit.
Construction Authorization
(Required for Building Permitl
the arcad
with the ed system layout
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
ISSUED TO: PROPERTY LOCATION: _ M C- \ 11.L
M fit 110t / —_ r7(�� SUBDIVISION LOT # ?�
Facility Type: CZA .�Q New ❑ Expansion ❑ Repair
Basement? ❑ Yes K No Basement Fixtures? ❑ Yes )<No
Type of Wastewater System" G -4 C-, v N AL- (Initial) Wastewater Flow: 4}`CCJ GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches L
Septic Tank Size VohCi gallons Exact length of each trench 133 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1"q inches
(Trench bottoms shall be level to +/_I/4"
n all directions)
Pump Requirements: ft. TDM vs. _ GPM
Conditions:
Trench Spacing: f feet on Center
Soil Cover. ro inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
C inches below pipe
8 inches above pipe
1 inches total
**If applicable /understand the rystem type siaer/hed is different hom the type rpedifed on the app/kation. / accept the speci&iantmr of this permit
Owner/Legal
Date:
this tonswnion Authorization is subject to revocation it the site plan, plat or the intended use changes. The Construction Authori ation than not be transferred when there is a change in ownership of the site. This
construction Authorization is mb"ect to coin the provisions of the lam and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:0164iS Date:G 3 0 1
Constructlo uthorization Expiration Date: 6 3Q 2a
HTE# Permit #
Harnett County Department of Public Health
CSite Sketch
ISSUED T0: PROPERTY LOCATON: M c Nr— t^i. Q -p
� SUBDIVISION LOT #
Authorized State Agent,' FjjS �0�„T�-CoLXypa�
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: G4C- )1j
Proposed Facility: 1A$OQ_v ` Design Flow (.1949): Wee
Location of Site: Property Recorded:
Water Supply: �ublic❑ Individual ❑ Well
Evaluation Method]. Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheer.
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Minetalogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile#
Class
& LTAR
>
Lg
a s
oaa
G s�
NK UKP
5Z.
yG;S 3)r P
af—
gva ti �3.tE
4D
ss
n
Description Initial R air System Other Factors (.1946):
system/ Site Classification (.1948):
Available Space (.1945) Evaluated By: p�
System Type(s) caN �s % G7 Others Present:
Site LTAR
14X "33 � 1`S