IPACHTE# Harnett County Department of Public Health 29709
Improvement Permit
A building permit cannot be issued with only an ImpIrovement It".,
it
PROPERTY LOCATION: "tV d a_oLUM LN
ISSUED T0: ws 9% --
iNSON SUBDIVISION LOT #
NEWX REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Ml a" . uw as C �la1�a� 6G _
Proposed Wastewater System Type: C ,0"yr.%M%am AL
Projected Daily Flow: ] `i GPD
Number of bedrooms: '�L-- Number of Occupants: _max
Basement ❑Yes XNo
Pump Required: ❑Yes >kNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public )KWell Dis ce from well t00 feet
Permit conditions: _ �nrNeSr
Authorized State Agent:
The issuance of this permit by the Health Department in no way guarantees the issuan
site is subject to revocation if the site plan, plat or the intended use changes. The Impr
The laws and Rules for Sewage Treaunent and Disposal and to conditions of this permit.
Date:
Permit valid for. Five years
❑ No expiration
SEE ATTACHED SITE SKETCH
permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met. Systems shall be installed in accordance
with the attached system layout
ISSUED T0: PROPERTY LOCATION: Y,l IL.D TS -Vs+' LN
SUBDIVISION LOT #
Facility Type: Vle a,' .,aa 'c+6 014� X New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 6v r i N D" At_ (Initial) Wastewater Flow: '14 O GPD
(See note below, if applicable ❑)
Co vYV S4N\ a N AL, (Repair)
Installation Requirements/Conditions Number of trenches Q.
Septic Tank Size \.o o O gallons Exact length of each trench SO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 1'30 inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. C -1St 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 ryrtem type specified lr dfAerent from the type tpeciled on the application. / accept the rpecifcar ons of this permlt
Signature:
Date:
This construction Audionza . ct to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when then is a change in ownership of the site. This
construction Authoriution subject to con wi rovisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
7uthoHzede Agent: RENS Date: 5 t
struction Authorization Expiration Date: az,'
NTE# 1-)-5-4-�XaA Permit # a.9-t0y
Harnett County Department of Miblic Health
Site Sketch
\ ' PROPERTY LO(ATON: Yj
ISSUED T0: W 1 Mn �c+5o r1 SUBDIVISION 11 LOT #
Authorized State Agent: r a L w CZ "OLV-' C Date: y I S I 1 1
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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: Design Flow (.1949):
Location of Site: Property Recorde
Water Supply: ❑ Public❑ Individual Well
Evaluation MethodO Auger Boring ❑ Pit- ❑ Cut
Type of Wastewater: �` 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
Sapm
Class
.1944
Restr
Honz
I
is
,2
F�
G -5
"IN?
s�
Description Initial Repair System Other Factors (.1946):
S st Site Classification (.1948):5
Available Space (. 1945) Evaluated By:c/'<
System Type(s) GCr Others Present:
Site LTAR - -
tS{11
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