IPACHTE#)'-) -5-4a0-7 Harnett County Department of Public Health 29707
Improvement Permit
A building permit cannot be issued with only an Improvement Pernfttppt
PROPERTY LOCATION: S3uaAtbz— (AAIS?ay Dill
—
PROPERTY
MG'Sl�1y�L JOvaN-5 SUBDIVISION LOT# Toa
NEW REPAIR ❑ - KPANSION ❑
Type of Structure: Sgo lSL"TS 7
Proposed Wastewater System Type: Q56 0 o scaao. Svc;
Projected Daily Flow: 3 GO GPD
Number of bedrooms: 3 Number of Occupants: Ce max
Basement []Yes 'KNo
Site Improvements required prior to Construction Authorization Issuance:
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 valid for. Five years
Permit conditions: I ❑ No expiration
Authorized State Agent:Date: 8)30 1� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the rs f other permits. The permit holder is r omible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the intended uu changes. The Improve at 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 construction 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 acmrdance
with the attached system layout
ISSUED TO: MPq'gl'J 1--"'A 15 ons PROPERTY LOCATION: Q')UQ 10L "r %v.S 0w Ocs
SUBDIVISION LOT # 18
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? El Yes ❑ No
Type of Wastewater System** 1.570 0.GoucrsaOns S7"!�1f-r'N (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑) /
?u c-? \* '�-� a! 6 0,6D (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size Vo m cs gallons Exact length of each trench It > S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Tq *W) inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: It. TON vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 sutem type spedled is different Imm the type speciled on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date
This construction Authorizau .ect m 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
Construction Authorization' ect to cots 1 revisions of the laws and Rules for Sewage treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ^l5 Date: B 9 i7
instruction Authorization Expiration Date: $ 0
HTE# 1--)-5-'12n7`I
Permit # 01
Harnett County Department of Public Health
Site Sketch
PROPERTYLOCATON: 6vCLQLz- W»04 �q
ISSUED TO:MA2v� �oU M�bCJ V SUBDIVISION \ LOT #
Authorized State Agent: \\' M15(9-1-1 —.moo apo J Date:T�,��
7 7t�
3.55
SVIMA 6LZ �liJ o,+ O2
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: 3$ve-n Design Flow(. 1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual E] Well
Evaluation Method: Auger o 'ng El Pit El cut
Type of Wastewater: _�g 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN .
th(IN.
Sapro
Class
.1944
Restr
Horiz
Site LTAR
1_5
-Iq. w51MP
3
Q -�G
6 � L
vFn vJl"P
-36
six C_�
es
L 1
ma
t3`Z
SSK�L
F�Las�
3Cr
53r� c'
Fn�
DescriptionInitial
Repair System
Other Factors (.1946):
System,
stem
Site Classification (.1948):l
AvailableS ace(. 1945)
Evaluated By: O'(
System Type(s)
."C� r
Others Present: —'
Site LTAR
1x y
Qb—