IPACHTE# L�'S—t-1S�30 Harnett County Department of Public Health 29679
Improvement Permit
A building permit cannot be issued with only Improvement Permit
PROPERTY LOCATION: POt��y
MSfjLOS-0x QZs
ISSUED T0: C.ht—<b&1LD14D %'W tit: -s �v G SUBDIVISION SGo,'5 0 rky LOT # -43
NEWV REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF4 C6� xsni�
Proposed Wastewater System Type: Com -1&n4 i0rAl6L
Projected Daily Flow: 14g0 GPD
Number of bedrooms: L— Number of Occupants: max
Basement []Yes 'Pt
Pump Required: ❑YesNo El be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '.Dk Public ❑ Well Distance from well feet Permit valid for. .'jive years
Permitconditi_ o ❑ No expiration
Authorized State Agenc: Date: 7 )1�}I)) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees i e � sof other permits. The permit h A! ible fir 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. The Impr 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 construction 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 actordana
with the attached system layout
ISSUEDTO: Vue^e61-1-040 \�Lorl%(CS 111)c—
Facility
NL
Facility Type: 5VDUO� A '�) .1K New
Basement? ❑ Yes �R No Basement Fixtures? ❑ Yes
Type of Wastewater System** (7--or44Ctrs xcsstP%L
(See note below, if applicable ❑)
PROPERTY LOCATION: T o w1o(,cyASP
SUBDIVISION C.,%&, sP S111>60V4S LOT # 33
❑ Expansion ❑ Repair
No
(Initial) Wastewater Flow:_ GPD
CSO N+Grr—T%-AAL (Repair)
Installation Requirements/Conditions Number of trenches f
Septic Tank Size L oo 0 gallons
Pump Tank Size gallons
Pump Requirements: h. TON vs.
Conditions:
Exact length of each trench Z.O 0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 'l r R inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 5 Feet on Center
Soil Cover. D3 4— 6 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.
inches below pipe
inches above pipe
inches total
**If applicable: / anderttand the system type specified is different from the type specified on the app/ication. / accept the rpecipcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The construction Authoriation shall not be transferred when there is a change in ownership of the site. This
Construction Authorisation is subject
tto 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: �v ��15 Date: �t rl
Cons ruction Authorization Expiration Date: �%
HTE# F)1 -S4-i )V30 Permit # `a.9 (4
Harnett County Department of Public Health
Site sketch
\ PROPERTY LOCATON: C ON 06RIJiA
ISSUED TO: trnu�il tooth-, t„C SUBDIVISION Ga.2oLI4o.S5Pk6aAs LOT# 3
Authorized State Agent: Date: 7)a:Lj't`l
KGPq�e I
HOUSE
40 L
S22,N ( FLd"6/2 s 109—
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: 7 dA,
Proposed Facility..--\, eC Q) Design Flow (.1949):
Location of Site: I Property Recorded:
Water Supply:ublic❑ Individual [_1 Well
Evaluation Method'; Aug o 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
I
L-.5
Description
Description Initial R air System Other Factors (.1946):
Systew 7! Site Classification (.1948): S
Available Space (.1945) V Evaluated By: OX
System Type(s) Others Present:
Site LTAR •J