IPACHTE# I-1 -5-y 1�6`E Harnett County Department of Public Health 29690
Improvement Permit
A building permit cannot be issued with only an Improvement le"
tt
c PROPERTY LOCATION: 1455-4-T^a1�O V A:Atr P.A
ISSUED T0: PPW ►-A Jt� BTW
SUBDIVISION LOT #
NEW^ REPAIR ❑ l EXPANSION ❑
Type of Structure: `SFO (433 J
Proposed Wastewater System Type: `>.S'ln qqn iesrtees iharex\
Projected Daily Flow: aGZ3 GPD
Number of bedrooms: '�) Number of Occupants: 6 max
Basement ❑Yes 'X No
Pump Required: ❑Yes >K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
Permit valid for: „Five years
❑ No expiration
Authorized State Agent::Date: .11!1) 17) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t ce of other permit. The permit holder ids responrsible for checking with appropriate governing bodies in meeting their requirementz This
site is subject to revocation if the site plan, plat, or the intended use changes. The Imps ement 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 Permjt)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .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 TO:Pp u a o S r� t t�1 PROPERTY LOCATION: NS52. McgopI
V C+laln F.O
SUBDIVISION LOT #
Facility Type: x0(LA,-6 ><New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" ol6°%e 'R6ovcnt ctw Svr,-Ten (Initial) Wastewater Flow: %GO GPD
(See nate below, if applicable ❑)
Qu e,nP 1 o to -S`710 t -&D (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size 1,045 o gallons Exact length of each trench feet Trench Spacing: °S Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. �, Y1 inches
Maximum Trench Depth of: Q `JI,'1 inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: ft TDH vs. _ GPM
Conditions:
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING 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 / undeamd the system type rpecih'ed fr d%tent from the type specifed on the app/kation. / accept the rpecileatioar 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 Authorization shall not be transferred when there is a change in ownership of the site. This
wlouuruuu Rumunranun is moles to ance win me 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: ?Alt -N5 Date: B 4 t
nstruction Authorization Expiration Date: vi 17
HTE# Permit # a�6'�D
Harnett County Department of ll�tblic Health
Site Sketch
PROPERTY LOCATON: IL4S5a Mc-Do,GA,o ko
ISSUED TO: P,V Sri V-114SUBDIVISION 11 LOT #
Authorized State Agent:�n �9�NvfiZ,7'o c�Z% Date: 7 1-'i)
M�Dou6Az-0
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: 113) 1 7
Address: Date Evaluated: r
Proposed Facility: %909—rtt Design Flow (.1949):3,(Q��
Location of Site: Property Recorded:
Water Supply:��,��,' ublic❑ Individual ❑ Well
Evaluation Method* Boring El Pit F1 cut
Type of Wastewater: �� --E3� Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1946
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
`5
Ci 5
VR1 $�VQ
30{16
S3a(.soi
F/l SS�)Sj
P5S
"Sc
Description Initial Rep it System Other Factors (.1946):
System(' Site Classification (1948).t
Available Space(. 1945) Evaluated By: Q�
System T e(s) O
Site LTAR Others Present:
, T
) 4R, vt - Qt' "