IPACHTE# I �'S H1 °S�� Harnett County Department of Public Health 29701
Improvement Permit
A building permit cannot be issued with only an Improvement Pe It
PROPERTY LOCATION: C) ay av
ISSUED TO: W S%L-) C_N�c-t7TT SUBDIVISION LOT #
NEW bi� REPAIR ❑ EXPANSION,J'3
Type of Structure: Mme^• \AOeiG 01-1; 6
Proposed Wastewater System e: �°i,Q6o�[Tsoet SYSS6..
Projected Daily Flow: 3L0 GPD
Number of bedrooms:
3
Basement ❑Yes
�<No
Pump Required: ❑Yes
❑ No
Type of Water Supply:
❑ Community
Permit conditions:
Maximum Trench Depth of: R'D-b inches
Number of Occupants: max
Site Improvements required prior to Construction Authorization Issuance:
May be required based on final location and elevations of facilities
X Public ❑ Well Distance from well feet
Permit valid for.
*Five years
❑ No expiration
Authorized State Agent:: '��� �\RL.**115 Date: i I'Ixl Q SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan f other permits. The permit holder is re onsible for 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 Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provision of
the taws 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 Also, .1953, .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 TO: HiQ L -S GAL.�L,U-�-) PROPERTY LOCATION: Ot-.%4W, CZ.o
SUBDIVISION LOT #
Facility Type: M Fc4 . �� r cw.6 (13 s
-'7 New New El Expansion [I Repair
Basement? ❑ Yes -V, No Basement Fixtures? ❑ Yes �No
Type of Wastewater System** QS -0[ . P%s=_ooii +U N (Initial) Wastewater Flow: U(Z) GPD
(See note below, if applicable ❑)
'S
SZG-o• i5. (Repair)
Installation Requirements/Conditions
Number of trenchestom_
Septic Tank Size tomo gallons
Exact length of each trench ro O feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: R'D-b inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs.
GPM
Conditions:
Trench Spacing: cl Feet on Center
Soil Cover. Cm e inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM ORREPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
*If applicable: /understand the s,wem type spec is different hom the type speci/ied on the application. / accept the specifications o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is sub evocation 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
Construction Authorization is subject to compkeg wt of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: iv m Date: B
Cans ion Authorization Expiration Date:
HTE# 4-1-5- LY S ti� l Permit # a S70 I
Harnett County Department of 1-�tblic Health
Site Sketch
PROPERTY LOCATON: ez
ISSUED TO: N n, L aG U v� SUBDIVISION 1 LOT #
Authorized State Agent: ��L�+G1 TOuSSD 0(Zy Date:
T80
aoo,
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: LL
Address: Date Evaluated:$'Z`� �� I
Proposed Facility: 3 50� Design Flow(. 1949):( dot
Location of Site:Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: �uger Boring ❑ Pit ❑ Cut
Type of Wastewater: "jj� 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
Wetness/
Color
.1943
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
Site LTAR
�`s0
-'
G ��l�
z
-11K
G
)j•
sSzcz
F2 s��P
C�2 C3a
P 3��
3
O-f�'
G S L
7 1 t15
ft -34
ss„�-
Z �
6- '1
.,
C$2a
Aa r
1 c
O'd0
c
" r� INQ
•37S
Description
Initial
System
Repair System
Other Factors (.1946): p
Site Classification (.1948): C7
Available Space (.1945)
Evaluated By: C)
System Type(s)
'
Others Present:
Site LTAR
-'
/�,/1 th 1� \010