IPACHTE# I-7-5-f-it%SG Harnett County Department of Public Health 29676
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Nn,; : J CA S
ISSUED i : %-40ca.sp,5, Sca�Quv4aw%i i SUBDIVISION LOT #
NEW % REPAIR ❑ EXPANSION ❑
Type of Structure: T`141 . )'iocn6 Cas' s6Z
Proposed Wastewater System Type: Cow vy 19 .4 g rr
Projected Daily Flow: 360 GPD
Number of bedrooms: -1, Number of Occupants: 6 max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community >e Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
Five years
❑ No expiration
Authorized State Agent: e� Date: )1�y- _L11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance hermits. The permit holder is respon11 far checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it the site plan, plat, or the intended use changes. The Improvement 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 comtmction 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
with the atached system layout
ISSUED TO Dei �`�E�NCen^N n1 PROPERTY LOCATION: AVK2)Q_n'
SUBDIVISION LOT #
Facility Type: Shams li 0 (a.fe' D -9, New ❑ Expansion ❑ Repair
Basement? ❑ Yes �Z No Basement Fixtures? ❑ Yes No
Type of Wastewater System" Cc NV C'N� 1 t1 N AL_ (Initial) Wastewater Flow: 3 *0 GPD
(See note below, if applicable ❑)
9,S"Z" RGOJcrl'10t, Sys. (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size %.a 0 o gallons Exact length of each trench w? feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 10Li inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: "S Feet on Center
Soil Cover. 6-1Z 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: / ondeutaad the system type rpedled is different from the type specified on the application. / accept the Jpecifcatiom of this permit.
Date:
This construction Authoriea o to revocation if the site plan, plat, or the intended use changes. The contraction Authoriaton shall not be transferred when there is a change in ownership of the site. This
construction Authorization is subject m complia revisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
F
orized State Agent: tbw5 Date: —71441-11
Cor ion Authorization Expiration Date: "1 �A I Q��-
HTE# I7'S—'1T-7S(0
Permit #
Harnett County Department of FWAic Health
Site Sketch
PROPERTY LOCATON: A uTCL-) t,D
ISSUED T0:1+a cv+�`� S L�'k'D n 6ttiPeN N / SUBDIVISION LOT #
Authorized State A¢ent: �� t g� �frt i ot✓SDo�� Date: 7 d'� I N 1
4a�
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:
����17
Proposed Facility: 3 fjDQrn Design Flow (.1949): 3 Ct%
Location of Site: Property Recorded:
Water Supply: �ublic❑ Individual ❑ Well
Evaluation Metho;OlAugBoring [I pit El 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
Wemess/
Color
.1943
Soil
Depth (IN.I
.1956
Sapro
Class
.1944
Restr
Horiz
I 7yk )
1s -5c
'in
� •
Ps
Description Initial R air System Other Factors (.1946):
SysSite classification( 1948):
Available Space(.1945) Evaluated ByQ`r
System Type(s) Ca [v 061 Others Present:
Site LTAR •5