IPACHTE# �� _5 �»� Harnett County Department of Public Health 29662
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
1 - PROPERTY LOCATION: uD
ISSUED T0: �KCf1P z- F�� �t�rl �1�R S SUBDIVISION trla M,G BILOT # I
NEW3K REPAIR❑ NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1 Cgrl) 16
Proposed Wastewater System Type- 2 SO3�o u&5AON Y� ern
Projected Daily Flow L}R'� GPD
Number of bedrooms: L— Number of Occupants: max
Basement []Yes �K No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply:
Permit conditions_
❑ Community Public ❑ Well Distance from well feet
Permit valid for.
Five years
No expiration
Authorized State Agent: ��� -'\�tof
Date: ro I --3n I 17 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no wrmits. The permit holdei is resp6nsible for checkingwith appropriate governing bodies in meeting their requiremenn. This
site is subject m revocation if the site plan, plat or the intenmit 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 condition of this permit.
Construction Authorization
(Required for Builder Permit)
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in actordana
with the attached system layout. � r
ISSUED T0: d.J�sCOSS-\ �NO QSa.�tJt�5 PROPERTY LOCATION: DLO ti21
SUBDIVISION n e r-aN v6
Facility Type: New ❑ Expansion
$ --L-L- 8,066. LOT # I
❑ Repair
Basement? ❑ Yes >�, No
Basement fixtures?
❑ Yes XNo
Type of Wastewater System"
'a.S%
110,o 0 G5 tl !V S7S sv1
(Initial) Wastewater Flow: Li*) GPD
(See note below, if applicable ❑)
o
a5!
SSS
o
. (Repair)
Installation Requirements/Conditions
Number of trenches _
Septic Tank Size "s tido
gallons
Exact length of each trench -7 D feet
Trench Spacing: cl Feet on Center
Pump Tank Size o43 o
gallons
Trenches shall be installed on contour at a
Soil Cover. &2-) inches
QJ r- ryc:GaGO�)
Maximum Trench Depth of: 36--A inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.l/4"
36" above the trench bottom)
in all directions)
Pump Requirements: ft TDH vs. GPM
Conditions:
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
If applicable / undeatand the ryrtem type rpeciled is dilerent from the type specile0 on the app/icarism / accept the tpecih'catianr of this permit
Owner/Legal Representative Signature: Date
This ConstructionAuthanizathirjs subject to 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 is subj" a with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
[Authorized State Agent: 3 D4��5 Date: G1301 r?
Construction Authorization Expiration Date: 630 X.1-
NTE# 1 S--�l lea?-}
Harnett County
Permit # Q.9 W6a
Department of Public Health
Site Sketch
ISSUED T0: �A to iE\
(� PROPERTY WATON:
tvO 'YA��c 1�IL SUBDIVISION
0�0
us4al
M-wn,) 6
P�C s .o sC LOT # 1
Authorized State Agent:
1$�u G2 ioLysriJt&
Date: �J3� 1 11
O
6
i�p
(�1MlE �E.QGIJSON D� .
� S li E 'tv o0O6� A
c.oN ; 0 V(L M9y
O )Ft= 6SLL
Department of Environment, Health and Natural Resources
Sheet:
_ Division of Environmental Health
On -Site Wastewater Section
Property ID:
lot *.
SORAITE EVALUATION
FileM.
Cod
Code.
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evacuated:(:Ja.3' -
Proposed Faelity:.,.-1 Design Flow (.J949):(-,,?,' ..
Location of Site:
Property Size:
Property Recorded: -
Water Supply Publico Individual ❑ Well
❑ SPMB Other
Evaluation Method:] Auger Boring ❑ Pit ❑Cut
Type of Wastewater: ❑Sewage ❑ Industrial Process
❑ Mixed
P
R
O
F SOH, MORPHOLOGY
I
OTirFR
.1940 1941
L landsGVe Horizon .
PROFUZ FACTS
OR
P DWS .1941 .1941
a Slope Ye (In.) stru;Md Consistence
1942
Soil .1943 .1956
Wetness/
.t9gq pm5k
Texnue Min
1_
Soil Sepm
Color th Class
Ratr Class
Ha iz h LTAR
I ,1rs Q V cZ
1
�sG
/N,
Description Itlitial Repair System Other Factors (1946):
S Site Classification (.1948):
Available S c (.1945) Evaluated B
S T s Z'S f'li j m' Others Present:
em
Site Ll AR t
3N (Q % 3( -5k