IPACHTE# Harnett County Department of Public Health 29693
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
\ PROPERTY LOCATION:
ISSUED T0: QAwO'S?5 LAafl QPc�N�Q,S
----..... _. - - ' --- —."s— LUt 8 Dia(%
NEW REPAIR ❑ ERP.SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: P.s�e`Ta 25 o •SYy,
Projected Daily Flow: kll� GPD
Li Nu
Number of bedrooms: mber of Occupants: 4% max
Basement ❑Yes ';�tNo
Pump Required: bRes
Type of Water Supply:
Permit conditions:
❑ No ❑ May be required based on final location and elevations of facilities
❑ Community '15, Public ❑ Well Distance from well feet
Permit valid for.
Five years
❑ No expiration
Authorized State Agent: Yi5 Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is a of other permits. The permit holder is re ponsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, pla4 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 pem u.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951..1954, .1955, .1956, .1957, .1950. and .1959 are incorporated by references inro this permit and shall be met. System shall be installed in accordance
with the attached system layout. �
ISSUED TO: p"b"O'Scr Ln`n QW11r, filkM PROPERTY LOCATION: Ow USual
SUBDIVISION —M r%� , ft E -L c— 9-.0 c LOT # 8QA
Facility Type: StcO �SO"KSQ) New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Pv MQ ) 0 3S'10 Rt ou<JTLeJN Syr (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) o'
Pu cng? I c7S`b RUa • SY5 (Repair)
Installation Requirements/Condidons Number of trenches S
Septic Tank Size 'L 0 O c gallons Exact length of each trench a OC1 feet
Pump Tank Size 500 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1 '7, inches
(Trench bottoms shall be level to +1_I/4"
in all directions)
Pump Requirements: ft. TDH vs. _ GPM
Conditions:
Trench Spacing: 11 Feet on Center
Soil Cover: 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WAIEN 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: / understand the system type specified if diNerent hum the type speriA on the app/kation. / aaept the spenAcations of this permit
Owner/Legal Representative Signature: Date:
This construction Authonz uh a to revocahorn it 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 Aullemadon is subject to temp a provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of thh permit. SEE ATTACHED SITE SKETCH
t��eriC
Authorized State Agent: ��� ����ta;.-r5 Date: $
Construction Authorization Expiration Date:
HTE# 1- -5 •"14a.`j
Permit # 3
Harnett County Department of 1'nblic Health
Site Sketch
ISSUED T0: �A LosA Lp� p
n
S}gtigrs
PROPERTY LOCATON:_
SUBDIVISION
LOT # 80Q
Authorized State Agent :
(?� S (pt
a(�—oL�
Date:
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LH7ouS TO
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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:
Proposed Facility: L�6SR-(� Design Flow (.1949): yltG
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Metho Au er Boring ElPit ❑ Cut
.
Type of Wastewate ewage ❑ 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
Site LTAR
FS
2
c� ak
C. 5
v' ti J .(f
S •Q
'3.1
3Y`
s<
Description
Initial Re air System
Other Factors (.1946):
Svswtn
Site Classification (.1948)3.
Available Space (.1945)
Evaluated By: q-<
System Type(s)
VtR
Others Present:
Site LTAR
. Q
cl) 0 -Y5 P pdaS' PZs