IPACHTE# 1 7-s�a3`I� Harnett County Department of Public Health 29728
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: FrA carr x O(L-, 4(a.
ISSUED TO: 6 P.v 6ti 117ko MEa3 SUBDIVISION J? Y,T cn% v C4wS5-N-4 6 LOT # 1?
NEW'q REPAIR p [XQANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SrcO
Proposed Wastewater System Typpe: a,5°�. R6o\)xs•sacs.a ys ;bar.
Projected Daily Flow: 3b GPD
Number of bedrooms: _ '� Number of Occupants: C max
Basement ❑Yes ; <No
Pump Required: ❑YesNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community )2< Public ❑ Well Distance from well feet Permit valid for. Xtive years
Permit conditions_ ❑ No expiration
Authorized State Agent: Date: 3 11 t SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu other permits. The permit holder is respom le 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 of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in xcordane
with the attached system layout.
ISSUED TO: � �AvGA. mo a �G3 PROPERTY LOCATION: vpolt.Ffaiye, C),,:",4
SUBDIVISION P 05Mf� a LOT #
Facility Type:Sec 0 L63 na� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes g No
Type of Wastewater System** 0�e R6wG5 0 r Jy� �s^ (Initial) Wastewater flow: d GPD
(See note below, if applicable ❑)
j0 Ei-.)- rRnnairl
Installation Requirements/Conditions
Number of trenches t
Septic Tank Size l e 0 0 gallons
Exact length of each trench X10 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. 30 -Sq inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: I Feet on Center
Soil Cover. G- 3 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 SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified /t different from the type specified on the app/icatian. / accept the specifications of this permit
Owner/legal Representative Signature:
Construction Authorization is
Authorized State Agent:
at, or the intended use changes. The Construction Authorisation shall not be transferee
the laws and Rules for Sewage Treatment and Disposal and to the conditions of this I
Vb HJ Date: S O
onstru itALAuthorization Expiration Date:
Date:
SEE ATTACHED SITE SKETCH
HTE# 1 5 t-1 a 3°1`a Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: F�,,wraq C)n-,4 E
\
ISSUED TO: �E y i;i �A GF nC_ r SUBDIVISION LOT # 18
Authorized State Agent ASCO'—iV 1 dL FSS Date: 1011'��
\ L
Q3*
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: j� Design Flow (.1949): 3 60
Location of Site: Property Recorded: 5 P
Water Supply: ,Public❑ Individual El well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: _:�10 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
MineralogyColor
.1942
Soil
Wetness/
.1943.1956
Soil
Depth (M.
Sapro
Class
.1944
Restr
Horiz
I
LS
Q -3a
G se
3�
58)� 5�
P 5 S
Description Initial Repair System Other Factors (.1946): p2
S s m Site Classification (. 1948):AJ
Available Space(. 1945) Evaluated By:15X
System T s) a Others Present:.
Site LTAR