IPACNTE# 17 �3 �� Harnett County Department of Public Health 29733
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: US"sal
ISSUED T : SoN tom, L-o<L— SUBDIVISION LOT #
NEW REPAIR ❑ NSION ❑
Type of Structure: S57-9) UoIS"S 1
Proposed Wastewater System Tye: 2 G'/n EAyys o.a $755 E rte
Projected Daily Flow: U1-60 GPD
Number of bedrooms: H Number of Occupants: -% Max
Basement []Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ><Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: . ❑ No expiration
Authorized State Agent:: �Y� Date: LC) �a� �� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way gu—_' nce of other permia The permit holder is responsible or checking with appropnan governing bodies in meeting their requirements. This
site is subject m revocation if the site plan, plat or the intended use changes. The Iftiftwernent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws 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 insulted in accordance
with the attached system layout.
ISSUED T0: PROPERTY LOCATION: VSLl2.1
SUBDIVISION LOT # G
Facility Type: S FD (60 x51% New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No �/
Type of Wastewater System** Q- -0�o Y�EOV� c2+ 7 SyS'S6fn (Initial) Wastewater Flow: L1 {SO GPD
(See note below, if applicable ❑)
`ZS'�e QEPvGt oz7 .-(Repair)
Installation Requirements/Conditions Number of trenches V
Septic Tank Size S O O U gallons Exact length of each trench 150 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: N. TDH vs. GPM
Conditions:
Trench Spacing: �_ Feet on Center
Soil Cover: C. inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING 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 speri6ed is different from the type spechyed on the app/intron. / accept the rpedfleationr of this permit
Date:
This construction Authorization is su f option 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 com ce with "sions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: u1j5 Date: J+ -)l) 1`
(onstru ' kAuthorization Expiration Date: 1 - 2a.
HTE# \—� -5��i2tl�`1 Permit # a`1--33
Harnett County Department of ll�tblic Health
Site Sketch
_ PROPERTY LOCATON:
ISSUED TO: JoR'>Lwa > t-0 0— SUBDIVISION LOT # C
Authorized State Agent: 6L i oDate: to
i30�
USy.�I ;J
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: , Av3' )-1
Address: Date Evaluated: a
Proposed Facility: N69rzM Design Flow (.1949): LF%O
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method Au er Boring EJ 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
Positioni
Slope%
Horizon
Depth
(ht.)
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
qM
0 'a`�
E 5
j±D N�� VQ
�� •`d
O-L�R
G 5
be
0�`b
5
YRLag�"1P
��
Description
t r "S6 V. it ate,.
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: C6
Others Present: __�