IPACHTE# )�—�'"��3 Harnett County Department of Public Health 29813
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
(� e PROPERTY LOCATION:
\ NGalOSotrs*y
ISSUED TO: PS -1 T s �f �A� �-0 A6_94g SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSIO ❑
Type of Structure: ( x (���`
Proposed Wastewater System Type: aS° o P-G.Da)I o ns S F E m
Projected Daily Flow: 3 60 GPD
Number of bedrooms: 13 Number of Occupants: '6 max
Basement []Yes >q No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public 3K Well Distance from well S O feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: V 91-m S Date:Rel l l 117 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu other permits. Be permit holder is resp nuible forchecking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it 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 requirements of Rules .1950, .1952, .1954, .1955, .1956, AM, .1958. and .1959 are incorporated by references
into this permit and shall be met. Systems shall be installed in accordance
with the attached system taint.
ISSUED TO: PN 1—)4 .D Wrag PROPERTY LOCATION: NGarOsovi h
SUBDIVISION
sz—'p cl"^1��
LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes L�Ho
Type of Wastewater System** X e/' 9'ezw: %S Q+i J3sEar
(Initial) Wastewater Flow: 36a GPD
(See note below, if applicable ❑) /
a.Gw! PSLiO. 01-Y5
o . (Repair)
Installation Requirements/Conditions Number of trenches 4
-7S
Septic Tank Size _ -cD0o gallons Exact length of each trench feet
Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of S`, 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 TDM vs. GPM
inches below pipe
Conditions: 5cE S,rG S �Gretl �e a QiL Co"on' o
Aggregate Depth: inches above pipe
inches total
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.
**If applicable: / understand the system type specified it different from the type specified on the app/itadon. / accept the rpecibcationr of this permit
Owner/Legal Representative
Date:
This Construction Authorisation is en to revontion if the site plan, plat, or the intended use changes. the Construction Authorization shall not be transferred when then is a change in ownership of the site. This
Construction Authorization is subject to compo t visions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: Y I A
Authorization Expiration Date:
NTE#-1-5^�a�a Permit # a,N?I-�
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LO(ATON: NUa�O Soy5�1
SUBDIVISION LOT #
(.tL) (6(
n
Date:
I J, y
-4- DQ.A i N 1- �C,. L) I S 'j�- Mz, 6&
Do IJ ff NViElm-� 'Tv
lit,-cAt� 1F FyA�; AeE
b ontE
't" �26roGN D�zq �Ci' � iCL�D
3
16 0 >ro N
LAL;L- w)S!, PQy QUES(tOUj
PQ.\c(jaa la31t'u.A'St�N
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: \
Proposed Facility: 3 9 DCLrn Design Flow (1949):36 5 d
Location of Site: Property Recorded;
Water Supply: ❑Public❑ IndividualWell
Evaluation MethodA r Boring ❑ 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.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Minemlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth(IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
��
lfip,L
6
�s It isa
VL It5?IR
Description Initial Rair System Other Factors (.1946):
S ste Site Classification (.1948):'x5
Available Space (.1945) V Evaluated By: Oi
System Type(s) zs 1 Others Present: —
SiteLTAR