IPACRHO—) Harnett County Department of Public Health 29821
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: W» i 1zW—xS P—D
ISSUED TO: P' a��C, CfQNt;1 iNG SUBDIVISION S%7M LOT#
NEW X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 IDSoy'���
Proposed Wastewater System Type: d5'�e P4Wuc cao.a
Projected Daily Flow: g-010 GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes 'ZMNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
Five years
❑ No expiration
Authorized State Agent:: V� �.� t Y� Date: 1�.I �.l ) )� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i n is other permits. The permit holder or checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation 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 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 .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: Ilk G PROPERTY LCGI:
SUBDIVISION -Za a Oa sN P,�V'1 LOT # aS
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System`* as,/e 9—cD ucril ow Sv3 S6sr (Initial) Wastewater Flow: 4Eb 0 GPD
(See note below, if applicable ❑)
Q. p( /c RGD. sy . (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size gallons Exact length of each trench 230 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 3(. -IA$ inches
(Trench bottoms shall be level to +/_1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: 2y -3S- 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• l anderstand the system type speciled is different Imm the type speciled on the application. / accept the spealcalons of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use dmngex TM1e [onstruaian Authorizavon shall tams be banslerrcd when there is a change in ownership of the site. This
Moroccan Authom u m u su he isions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �h� Date: 12
Constrl* Authorization Expiration Date:
HTE# t 7 Permit #
Harnett County Department of Public Health
Site 'ketch
PROPERTY LOCATON: W'"� Ly GA7
ISSUED TO: Pis A 'G C� ML,- , 1No SUBDIVISION Sate- .ac. -,NL LOT # S
Authorized State Agent: 9x\fir 9 �9 L1VG21 0LY3D0Ry Date: 1Z�a\,17
Cc, -i w„.-, P r1 q QCs 1 oNS
PGL, o<l sd 1 NSz o LtA >Pc�
s,o� Qaoeen-tel L.,N e?.
1 a�
i
� �NSOtiPg1� �
So1L
Q
6 �
1 � 1
i
� 1
1 ^ 1
U so xSO
NousE
3{'
2A>N�+wK.UL 5�.
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: L,) GDCLr+'\ Design Flow (.1949):1i0
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ElWell
Evaluation MethodAugBoring E] 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
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.
.1956
Sapro
Class
.1944
Restr
Horiz
L9
o -a
O—l�
G se,
v� N5?n8
4 5
36 l
C 3
.��
G sL
vt�.,mjINQ
lam`
)L GL
N71. -S)
{�
X3.5
36
s
Description Initial Repair System Other Factors (.1946):
Systeny Site Classification (.1948):
Available Space (.1945) Evaluated BY:
System T e(s) 'L a Others Present: /
Site LTAR