IPACHTE# 17-5-4a.b1 1 Harnett County Department of Public Health 29748
Improvement Permit
A building permit cannot be issued with only an Im,Provement ,Permit
PROPERTY LOCATION: � )LL L+y 4^t,
ISSUED TO: ) V6o1..0 N INc. SUBDIVISION S ams WtCSGL LOT # S -i
NEWN REPAIR ❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: FO i s S s X 16
Proposed Wastewater System Type: Q-!9'7 * CO Gto"
Projected Daily Flow: 3(a0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes " �yNo
Pump Required: ❑Yes /I_y.No El Nay be required based on final location and elevations of facilities
�y
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:\ate i�� Date: \ 1 I i 5 ) )7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaant hVssuance of other permits. The permit holder is respo ible for decking with appropriate governing bodies in meeting their requirement. This
site is subject to revoafion 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 subjectto compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
squired for Building Permit)
The mnmuction and installation requirement of Rules .1958, .1952, .1954, .1955, .1956, .1951, .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: iVCsLeO N )4,4 c— PROPERTY LOCATION: WSLL LV OPS Q�
1 SUBDIVISION SwLOT #
Facility Type: SFo Li New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'K No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** _2-so/0 ut'(Vc;N S-yg Vi(Initial) Wastewater Flow: UD GPD
(See note below, if applicable ❑) Cv MP
`15n�• ID,Gp \xK r S7) (Repair)
Installation Requirements/Conditions Number of trenches l
Septic Tank Size S o o o gallons Exact length of each trench iq bb feet Trench Spacing: ®% Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 2204 inches
Maximum Trench Depth of. 'I J6 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the ryrMm type rpecih'ed it different lmm the type rpeciled on the app/icadaa / accept the fpecilcadonr of this permit
Signature:
Date:
this construction Au n n su,,,1 to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there h a change in ownership of the site. This
Construction Authorization is subject to co with 11:4jrovisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �Z\�nS Date: Y 1S 17
Construction Authorization Exairation Date: ti� IS
HTE# Permit # a17�
Harnett County Department of Aiblic Health
Site Sketch
PROPERTY LOCATON: 0
ISSUED TO: v aN 1NC, LOT
//"� SUBDIVISION `O r4 rX\-ER-
Authorized State Agent: R(o
(0 L. ioli�Oo(j� Date: il��St)l
1-0r—q S ow V-t�,Q J66` -S
Q;% ARQL1CiSiM`5
I61�
C, .
02
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: n�\
Proposed Facility: 3 VptZn Design Flow (.1949): a
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Meth ug 6B ng ❑ 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.)
SOILMORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
ao 36
tW2
_t,0_L*
vVIL
lb -
Description
Description InitialRe air System Other Factors (.1946):
S st n Site Classification (.1948):$ S
Available Space (.1945)14 Evaluated By: Q�
System T e(s) a (er�D VMV Others Present:
Site LTAR I. I .5'