IPACHTE# 17 -s �+ �t1 Harnett County Department of Public Health 29731
Improvement Permit
A building permit cannot be issued with only a Improvement rmlt
N PROPERTY LOCATION: 8 oc15�
ISSUED TO: 5Scl-VUC"OCZ� SUBDIVISION OAXt"loeM LOT# el
NEWS REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �0 �yv
Proposed Wastewater System Type:Vu4'rN17S o a.S ooy6iToN ' /45
Projected Daily Flow:GPD
Number of bedrooms: Number of Occupants: max
Basement ❑�Ye.s�,s, >(No
Pump Required:.�yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for. XFive years
Permit conditions• ❑ No expiration
Authorized State Agent:: \ �� = Date: 1 O�a31) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er permit. The permit holder is mpona k furfur checking with appropriate governing bodies in meeting their requirement. 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 requirement of Rules .1958, .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: \A CDx-41-%A V 0'rd(Lb PROPERTY LOCATION: Z) OC,9 9-Z
SUBDIVISION O KY -M o nYc LOT # -MCA
Facility Type: SFO L�lO.x ��� � New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures.? ❑l Yes ❑ No
Type of Wastewater System'* p_y4np-T> Za 10 RSpvcily,,v g r3 E,. (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) V P T o aS�la
r)fz 573 (Repair)
Installation Requirements/(onditions Number of trenches t
Septic Tank Size Lo o `Z�, gallons Exact length of each trench 1 Se feet
Pump Tank Size 1D d O gallons Trenches shall be installed on contour at a
Maximum Trench Depth of -60-16 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: \ li 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INICLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( 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 strealed is different from the type spedled on the app/icatfon. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Autbrois subject 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 comps thd4wxii of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:1� Date: 101-)31 1-3
o sr lion Authorization Expiration Date: L�
NTE # Permit # a 9� 3 )
Harnett County Department of 1'ublic Health
Site 'ketch
PROPERTY LOCATON: L%oc 9�'n
ISSUED TO: �� }� �' ALV c%, o q,S rr SUBDIVISION N , LOT
Authorized State Agent: Date: IG 113117
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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: (GI \al �1
Proposed Facility: U 092x" Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method An er Boring ❑ Pit El
Type of Wastewate . gWSewage ❑ 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
�5
Description Initial epair System Other Factors (.1946):
S ste Site Classification (.1948
Available Space (.1945) V Evaluated ByCA
System Type(s) p Others Present:
Site LTAR ,"9 .�
a\�C� �'- "50-I4