IPACHTE# I7—S44J3L11,) Harnett County Department of Public Health 29724
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: O 544.
ISSUED T0: GcnJ Rog\N 360 SUBDIVISION LOT #
NEWV REPAIR E ANSION 11Type of Structure: �� d rx-�k'12
Proposed Wastewater System Type: Toa r vcs u>J rc^�
Projected Daily Flow: L N%O GPD
Number of bedrooms: H Number of Occupants: Amax
Basement []Yes )91, No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes :�Mo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community. Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
'Five years
❑ No expiration
Authorized State Agent:: _ ���tZS Date: I d I 1 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t e co of other gamin. 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 changes. The Improvement 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 o1 Rules .1950, .1952, .1954, .1955, .1956, .1957, .1956. and .1959 are incorporated by references into this permit and shall be met. Systems than be installed in accordance
with the attached system layout
ISSUED T0: nyL PROPERTY LOCATION: 02-0 USLid.'\
SUBDIVISION LOT # �1
Facility Type: 5 E'0�5� x<y�� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** QS70 'Rg QU10( 0'JS �a �rc� (Initial) Wastewater Flow: 4X0 GPD
(See note below, if applicable ❑)
e� 10 'I -2%E0, 57g- (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size 00e5 c7 gallons Exact length of each trench '4q0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of It 3O inches
(Trench bottoms shall be level to +/-I/4"
in all directions)
Pump Requirements: It. TDM vs. GPM
Conditions:
Trench Spacing: g Feet on Center
Soil Cover. 6-^)'4 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 system type specified is different from the type specified on the application. / accept the rpecifcabonr of this permit.
Owner/Legal Representative Signature: Date
This Construction Authorizatis vocatiosite plan, plat. or the intended use changes. The Construction Authomation shall not be transferred when there is a change in ownership of the site. This
Construction Authorization i 'ect so compliancen if the he Caws and Rules for Sewage Treatment and Ditpmal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent5 Date: tos T
Construction orization Expiration Date: 1" 3 a�—
HTE# N-) -5- L'-),: iU Permit # aa�a�t
Harnett County Department of IlUblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: Gw $\ oow \Aocn6 /`v(. SUBDIVISION LOT #
Authorized State Agent: to �F2 T6> Kzjo Date: t0 J 3 I >7
2.0 06LaiNAGE �E"�ENi
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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 Recorded:
Water Supply:G';lPublic❑ Individual ❑ Well
Evaluation Me[hoSJ�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
Minemlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
0'36
sL
3b
.5
030
6;t5
IV,,, P449
p5;X
3OV
j
5(,LFid
SS�nyl
PS
S
Description Initial R it System Other Factors (.1946): Q
System Site Classification (.1948): .5
Available Space (.1945) Evaluated By:C''�
System Type(s) T7 ,r- Others Present:
Site LTAR 41, j