IPACHTE# �_� -S L aa031 Harnett County Department of Public Health 29550
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
(� PROPERTY LOCATION: ?)sXM4 a¢ p C.1c
ISSUED TO: 1�4 JgGOL+S SUBDIVISION Pwts&iStw CwzA6x LOT #
NEVSf REPAIR ❑
Type of Structure: ,—{XPANSION El Site Improvements required prior to Construction Authorization Issuance:
SGS X511 x�
Proposed Wastewater System Type: oaRy6 a s V NC. L
Projected Daily flow: -"- "IC) GPD
Number of bedrooms: `�- Number of Occupants: y max
Basement []Yes ;K No
Pump Required: ❑Yes �K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �K Public ❑ Well Distance from well Lbp feet Permit valid for.five years
Permit conditions: ❑ No expiration
Authorized State Agent:: �aS Date: % ZQ- ) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guamntem then,',ua ier permits. The permit holder is responsible 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 change. Impcoreme emit 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 Dispmal and to conditions of this permit.
Construction Authorization
squired for Building Permit)
The construction and installation requirements of Rules .1958, .1952, .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 rhe attached system layout
ISSUED TO: Ncc1Si5 PROPERTY LOCATION: 2>E24sARA S—, ,
S@ (5Li-.,,A SUBDIVISION AN.s
oG oGeac
tj c. LOT # 5�
Facility Type: Q \� �[ New ❑ Expansion ❑ Repair
Basement? ❑ Yes 1[�C No Basement Fixtures? ❑ Yes �KNo
Type of Wastewater System** tet, (Initial) Wastewater Flow: ZL t'O GPD
(See note below, if applicable ❑)
C'.o r�4VG,.r'N Cd N AL (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 10 O O gallons Exact length of each trench 5 O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: \1 ^3 0 inches
(Trench bottoms shall be level to +/-I/4"
in all directions)
Pump Requirements: ft. TON vs. _ GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. C> ^ T8 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, / understand the system type specified it different from the type specified im the app/icatioa / accept the specficathms of this permit.
Construction
Authorized State Agent:
plat. or the intended use changes. The Construction A.th...uon shall not be transfers
of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this
Q(aaaS Date:
Con ion Authorization Expiration Date: _
Date:
e in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# Permit # a�SS Q
Harnett County Department of iltiblie Health
Site Sketcli
PROPERTY LOCATON: OFlLNAQA 55
ISSUED TO: �G��J OHN�A�S35 rI SUBDIVISION ��o[r:S o� C�¢��K LOT #
Authorized State Agent: �� Qba�S Wt�e�t 1oL�517056)Date: 8I417
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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: �34�t7
Address: Date Evaluated: �1 \
Proposed Facility: 2LG�02�' Design Flow (.1949): Zk 40
Location of Site: Property Recorded:
Water Supply: 'Public❑ Individual ❑ Well
Evaluation Method Auge Boring ❑ Pit ❑ Cut
Type of Wastewater.- 1 xeewage ❑ Industrial Process
Sheet:
Property ID:
Lot M
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
4'
5-7
6
5.6
3
O -LV j
G aL
VF2�Y*P
S l
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948)^
Available S ace (.1945) Evaluated By: Q<
System T e(s) G,ver e:Cl.r Others Present:
Site LTAR ,5 —
-5