IPACHTE# I-7 Harnett County Department of Public Health 29820
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: �4 i a.r5 VL Co ayb-G . PROPERTY LOCATION: '. ea �A(I,rL
SUBDIVISION 5 w ELst w carri<fL LOT #
NEW REPAIR E�NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
4
Type of Structure: ` s X
Proposed Wastewater System Type: �$°le Rt�VCy(ars 5yy;E„
Projected Daily Flow: �10 GPD
Number of belfrooini Ci Number of Occupants: $ max
Basement ❑Yes XNo
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
Pe mit conditions: ❑ No expiration
Authorized State Agent:R�Hhh� Date: Y Z�—Z\II n SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees thother permits. The permit holder is responskle for checking with appropriate governing bodies in meeting their requirements. This
site is subject in 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 m 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 .1958, .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: A ? La cv C 1 G GO Nt C • PROPERTY LOCATION: 9--P� NN M as162 s
" SUBDIVISION Swati-Kflc
-ywF_ LOT # 3111
facility Type: SC -9 �3a'�S C� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 8.s "/o R)r--oU Ga I Ors (Initial) Wastewater Flow: 4Y(} GPD
(See note below, if applicable ❑)
GIL�0/0 'Z'`3 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t in 0 (0 gallons
Pump Tank Size gallons
Pump Requirements: it TON vs.
Conditions:
Exact length of each trench 9 30 feet
Trenches shall be installed on contour at a
Maximum Trench Depth ofd inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover. 94L, --)-G inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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: / ondetstand the system type specified is different from the type speahed on the app/icatioa / accept the specilcations of this panni[
Representative
Construction Authorization is
Authorized State Agent:
revoation if the site plan, plat, or the intended use changes. The construction Authorization shall not he transferred when
li ith the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
\� Date: 1,21-A
Construction Authorization Expiration Date: Ria
Date:
in ownership of the site. This
SEE ATTACHED SITE SKETCH
NTE# 1-2-5-')A43 Permit # a5�0
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: QP,N r p L(SZ SS .
ISSUED TO: SL SUBDIVISION LOT #
Authorized State ADate:
1a..11�
do Oo.A�wP6E�t1"s1��5%
I
5 1e1�
U
I I F,�
0XOOg6 � .3
I 3c
fol rA vEt, "-) •
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: 1,3CIrr Design Flow (.1949): L's 0 ��
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Au Sr ring El Pit El 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
& LTAR
.1941
Structure/
Texture
.1941
Consistence
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
i
o-rl
G
\j\T� IJg) ^R
x
�5'
xZ"�
53K GL
�Ct-SS�sP
�0 -36
g ` SGL
s5 /ntQ
PS
Description Initial
Repair System
Other Factors (.1946):
System
Site Classification (.1948):
Available Space (.1945)
Evaluated By:
System Type(s)
Others Present:
Site LTAR