IPACHTE# 11:5 z 1��5—/ Harnett County Department of Public Health 29809
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED T0: _ ONP9le�N ) fltyLO SUBDIVISION _ _Flo e.S w �T1wua e0 LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _�F O C6-6 E)
Proposed Wastewater System Type: a67e RFpV "t0" Sys;Et
Projected Daily Flow: z-1`li�(5 GPD
Number of bedrooms: I-)— Number of Occupants: —1_max
Basement ❑Yes o
Pump Required: ❑Yes o ❑ 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 condi[ ont =! ❑ No expiration
Authorized State Agent: �isspemms
Date: N a- Ii S SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in na way in. The permit holder is responsib a for checkingwith appropriate governing bodies in meeting their requirements. this
sire is subject to reroation if the site plan, plat. or tl�e intended t 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, .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: _Sorsc�Csap 1PROPERTY LOCATION: N6 t -t
SUBDIVISION S o c-a*1 LOT LOT #
Facility Type: 5F(7�> S�j� New ❑ Expansion ❑ Repair
Basement? ❑ Yes —JX No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Q,Soley 5 t 0 >v S 7 EA+� (Initial) Wastewater flow: �� GPD
(See note below, if applicable ❑) /
(Repair)
Installation RequiremenUKDriditions Number of trenches I
Septic Tank Size t o o M gallons Exact length of each trench 36 O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1'Q inches
(Trench bottoms shall be level to +/_I/4"
n all directions)
Pump Requirements: ft TDM vs. GPM
Conditions:
Trench Spacing: °I Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (IN(LUD►NG IRRIGATION) MUST BE LOFT. 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 speciled is different from the type speciled on the app/ication. / accept the specifmiom of this permit.
Owner/Legal Representative Signature: Date:
This tnnsmattlon Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction intermountain shall not be tmnderrea A, Owe �. , .a,... :. .w.._u... .._ .:.. ,.:.
.. nvc ,i
Construction Authorization is suhjea to iTh the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKnsETCH
[Authorized State Agent: i5 Date: 13.4 )-7
Cons ' Authorization Expiration Date: 1�
HTE#
ISSUED TO:
Authorized State Agent:
Permit # (MjpCA
Harnett County Department of Public Health
Site ,'ketch
PROPERTY LOCATON:_
�� 1 iLo2 SUBDIVISION-SoNa< tc��, T p�y�G2 LOT #
Date: "-,-I )F 11-7
Ui t
PC
.f-
NG�LC TIYUMV�S
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOQJSITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: L'l �241'v Design Flow (.1949):L'AQ)
Location of Site: Property Recorded:
Water Supply:ublic❑ Individual E] Well
Evaluation Method�uger B g ❑ Pit ❑ Cut
Type of Wastewater. Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
SOI, MORPHOLOGY
OTHER
L
.1940
landscape Horizon
.1941
PROFILE FACTORS
E
#
Position/Depth
Slope Yo (
.1941
Structure/
.1941
Consist®ce
.1942
soil .1943 .1956
Wetoeas/
.1944 Profile
Texture
Mmeralo
Color sod Sapro
Al.
Rem' Class
Class
HOriz & LTAR
cj
:51
c t
G L5
IR1 v51N Q
)e—
LDescription
Description
Initial Repair System
Other Factors (.1946):
System
B
Site Classification (.1948): 5
leSc
*Site
e(.194
Evaluated Byc�
R
s.
_
Others Present:A