IPAC RHTE#`Ii �F�h$5Q� Harnett County Department of Public Health 29806
Improvement Permit
A building permit cannot be issued with only a,Improvement Permit
ISSUED TO: G2EEvt E7p ,\ PROPERTY LOCATION: t'2o5QEac f�vtu� �_
rl0 U5l .a 6 SUBDIVISION FraEs� u2� \vgToz LOT # 6
NEW REPAIR ❑ E SIGN ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: P1 eO �"�6 x3 tl��
Proposed Wastewater System Type: a5%w S�F—ovm 5 o,a Sya Es \
Projected Daily Flow: S!66 GPD
Number of bedrooms: 3 Number of Occupants: - max
Basement []Yes "�kNo
Pump Required: Dyes :1�kNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community, ❑ Public A Well Distance from well 100 feet
Permit conditions: Permit valid for. Five years
❑ No expiration
Authorized State Agent:: Date: \\ \
The issuance of this permit by the Health Department in no way guarantees of other permits. The permit holder is respo Bible for checking with appropriate goremingSbodieEE A?nAmeeting HED SITE eir requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr t 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
squired for Building Permit)
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. System shall be installed in accordance
with the attached system layout \\ n
ISSUED TO: G2E� �fF, 6LD N' OySw to PROPERTY LOCATION: --,,4ELi G\u'C"N IKO
Facility Type: M 0o L�6e X310SUBDIVISION -R CZ� N VQ.-L\cabs oN LOT #
A N 11
New Expansion ❑ Repair
Basement? ❑ Yes No Basemment Fixtures? ❑ Yes ❑ No
Type of Wastewater System** QL 9-C;DQ G5t 0 N Sym—, 6.m 360
(See note below, if applicable ❑) (Initial) Wastewater Flow: GPD
ZS°�tryJT67r\
Installation Reauiremenu/Conditions
(Repair)
Number of trenches 3
Septic Tank Size 10 oy gallons
Exact length of each trench 9 O feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 11% inches
(Trench bottoms shall be level to +/_I/4"
Pump Requirements: ft. TDH vs. _
in all directions)
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 (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 / undeatand the ryrtem type specih'ed it d1*mflt fom the type rpeciled on the app/kation. / accept the tpeOfMIXON Of this pemriz
Date:
....... nuu,"euuu o su%en m r n d me site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when
construction AuthorizatbiC un to compli with the sol the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
Authorized State Agent: ¢G �5 Date: ,11�Y1
Const 'on Authorization Expiration Date: ! n
e in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# _5- L�2.U5Q- Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: P2a5PGaT G Uyxo
ISSUED T0: G 2� - t;i D U5l n� d SUBDIVISION LOT #
Authorized State Agent:�
v 0 ux.SD o SS Date: _ I) J ag J�7
Oa�rv�a�
�s
G6L-,
55s
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:�
Address: Date Evaluated: J
Proposed Facility. D9 Ls, Design Flow (.1949): i 8 Property Sim:
Location
of Site: Property Recorded.
Water Supply: ❑ Public❑ Individual
Well
Evaluation Method: a Boring ❑ ❑ SPrtnB ❑Other
t EJ
Type of Wastewater: Sewage ❑Industrial Process ❑ Mixed
P
R
O
F SOH, MORPHOLOGY O.I.}
/ IM
.1941 PROFILE
Land
L [andswpe Horiroa
FACTORS
.1942
B Position/ Depth .1941 .1941 soil
# Slope Ye (In.) StmchuwConsistence µ,��
.1943
.1936
.1944 Profile
Texhrce MioereloSoil
Color
IN.
Sal—
Resc ens
Cl
4,4
Class
Honz & LTAR
•3
�5s5
-3S
Description Initial Repair System Other Factors (.1946):
S t
Site Classification (.1948): .j
Available S e (.1945)
S emT s 'a–S`i
Evaluated By:
Others Present: