IPACHTE# Y1 —S y Harnett County Department of Public Health 29678
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
INC,PROPERTY LOCATION: Vo m pLOSN
ISSUED TO: GVMiGu I-pe^s9 liac�6S LSUBDIVISION _ "rL.o1-1 50o50ta5 LOT # -ALI_
NEN REPAIR ❑PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 F9 L"
Proposed Wastewater System T L p �t+Gva a o�aP�
Projected Daily Flow: LN GPD
Number of bedrooms: ut Number of Occupants: max
Basement ❑Yes �Mo
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community "'a Public ❑ Well Distance from well feet Permit valid for. ,Five years
Permit conditions: ❑ No expiration
Authorized State Agent: `IS Date: � IZ-ai 117 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the t of other permits. The permit holder is response le for checking with appropriate governing bodies in meeting their requirements. This
site is subject to Mutation if the site plan, plat. or the intended use changes. The Improven ent 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 Perm to
The construction and installation requirements of Rules .1950, .19S2, .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 T0: C�j,Qftt . o H omr:5, lwr✓ PROPERTY LOCATION: PONt-&�Sa. QD
SUBDIVISION �0a'%asa NS LOT #
Facility Type: GiFOC6 1-tCO� New ❑ Expansion ❑ Repair
Basement? ❑ Yes %5R No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" (Z.o +6z3ss a t+t�.l-. (Initial) Wastewater Flow: y b0 GPD
(See note below, if applicable ❑)
(--0 oc1.KC (Repair)
Installation Requirements/Conditions Number of trenches l
Septic Tank Size LO o d gallons Exact length of each trench �-A O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth cl '"'1Q inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacin� `) Feet on Center
Soil Cover. �nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
C inches below pipe
Aggregate Depth: inches above pipe
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.
1 inches total
**If applicable / undeatand the t}rtem type rpetiled it different from the type rper✓led on the app/itaean. / accept the cperihrationr of this pem/it.
owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The (instruction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is milelance with the�pmvisions 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:
tion Authorization Expiration Date:
HTE# \_') -G-Li
Permit # r. 47 `d
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Paty ot105-p% 4
ISSUED TO: Av -Z C. SUBDIVISION Gyanz.'%w.k 5"0146 LOT # 31t-_
Authorized State Agent. G»s 19v,�f�L t7, r�DC1(� Date: zl
,
31
SP2�N C �vd�b25 t1�L.
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:]j
Address: Date Evaluated:!)�'67
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method Auer B ing ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot M
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 I
.1956
Sapro
Class
.1944
Restr
Horiz
1
5
0-,-A
Description Initial R it System Other Factors (.1946):
Sysm Site Classification (.1948):5
Available Space (.1945) 4 Evaluated By: Q�
System Tvpe(s) cri Others Present:
Site LTAR