IPACNTE# I7 -$4 aOl°1 Harnett County Department of Public Health 29710
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
{^ PROPERTY LOCATION: Li SH U E
ISSUED TO: r CLE1Ad %I— Sl a I& SUBDIVISION LOT # I
NEWX REPAIR ❑EYQANSION 11Type of Structure: ll6°i'�5 LA ) Q �
Proposed Wastewater System TyJ'pe: 2.6% GZLJCi10.a
Projected Daily Flow: a y0 GPD
Number of bedrooms: `a- Number of Occupants: an
Basement ❑Yes XNo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ M y be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well I CO feet
Permit conditions
Permit valid for:
Five years
❑ No expiration
Authorized State Agent: V :� Date:`114�T7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss 4 of other 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 changer The Improv aet 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, .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 the attached system layout
ISSUED TO: ViZ tN S""'J E PROPERTY LOCATION: L471 So V F3
SUBDIVISION — LOT # J—
Facility Type: 5Sr��69't Stip ,X New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" WJo 24M\i0i10 �s3Y 5'5&w\ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) _ /
QoMp>a 3.S°/m P,60- SYS- (Repair)CLoT Q'tA\n. ErvEa.&�
Installation Requirements/Conditions Number of trenches I
Septic Tank Size s o o d gallons Exact length of each trench 100 feet Trench Spacing: ci Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: IR'40 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: N. TDM vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"`If applicable: / undeatand the system type speciled it different from the type speciled on the app/radon. / accept the rpeci6cations of this permit
Date:
This Construction Authorization ' ct to 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 is subject to cam lion visions of the Laws and Rules for Sewage Treatment and Disposal and a the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 1141[v Date: cd -111—')
�struction Authorization Expiration Date: q III
HTE# 1—) ` 5' `1 Permit # a',-)10
Harnett County Department of ll�iblic Health
Site Sketch
r — PROPERTY LOCATON: t—T Sli V e—
ISSUED TO: c2,ZN � S» V E // SUBDIVISION — LOT #
Authorized State Agent.Date:
IN
—O
WGU' r.1�D
+36 pBalro°
r�2
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: a- QzQ2{q Design Flow (A 949)!to
Location of Site: Property Recorded:
Water Supply: �,. ,Public❑ Individual El well
Evaluation Method:L9 Augr Boring El Pit F1 cut
Type of Wastewater: Boring
❑ 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 J
.1956
Sapro
Class
.1944
Restr
Horiz
1
o -3a
tsYFn�rvQ
Stiff
'
a�
036
6
�x tivSNt
.1
'3
C -)6
G
A5
Description Initial Repair System Other Factors (.1946):
Sysm Site Classification (.1948): 1?J
Available Space 1.1945) V Evaluated By: 0>f
System Type(s) Ds i• Wa V^(? Others Present: —
Site LTAR