IPACHTE#1--7 -5-ll Harnett County Department of Public Health 29715
Improvement Permit
A building permit cannot be issued with only an Improvement Permit n
PROPERTY LOCATION: V) -T • PajmO.M Gava cn. (ZD
ISSUED T0: ST E4 E t -t C1c�� SUBDIVISION LOT #
NEWWX REPAIR EXfeA1f�SION ❑
Type of Structure: SC=E >a OrnS Ci )
Proposed Wastewater System Type: as` o Ex„
Projected Daily Flow: 3L0 GPD
Number of bedrooms:Number of Occupants: max
Basement []Yes X No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes �No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community )k Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Five years
❑ No expiration
Authorised State Agent: Date:' t SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance in permits. The permit hold is resp nsible far 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 it 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, AM, AM. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
With the attached system layout. c�
ISSUED TO: S 6+ G f.t pccMAi PROPERTY LOCATION: TEi - . r �s 6'`y C ^uccGH Q0
SUBDIVISION LOT #
Facility Type: Sm LUa"nS U� )FT, New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ YesNo
Type of Wastewater System** a, s`l G 9N 60 v cis vy N �> ; (Initial) Wastewater Flow: 0 GPD
(See note below, if applicable ❑)
a5'1 oKC Dll v el ?4 -3-J5—(Repair)
Installation Requirements/Conditions Number of trenches 3.
Septic Tank Size%a on U gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench L 6 O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of S'% inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
GPM
s�
Trench Spacing: cls Feet on Center
Soil Cover. c inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
**If applicable: / understand the system type specibed is different from the type specified on the application. / adept the rpeciflcadonJ of this pem2it.
Date:
This Construction Authodzauo 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 Auth ' 's subject to race visions of the Caws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 11}45 Date: 5 ll
-NACaction Authorization Expiration Date: 'f 39 aa --
HTE# I-1 - 5- tia01 ` Permit # a"11 i S
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized
PROPERTY LOCATON: MT • P1s6Q►� Cwt.Y-t, -t,,
SUBDIVISION LOT #
a1t<C)Iv627, ALL- �VC2�PCE f�\�R
v,Qacr �:)Cl- F1NNV,E(-D-
Date:
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: g,$1 pt'"� Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: '`ublic❑ Individual ❑Well
Evaluation Method: TLJ. Auger Bong Pit ❑ Cut
Type of Wastewater: 1 I3ewage Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
S 7
0 —1 6
G 3 L
`
VPZ1�P
16-30.
5$ K G
F(L 33%SP
�j3
36
? n
C
6? IL
P3
.N
Q M
G s L
niAV
Description Initial Rep ' System Other Factors (.1946):
S ste Site Classification (.1948): Ir
Available Space (.1945) Evaluated By: 01�
System Type(s) `a -S` Others Present: i—
Site LTAR • $