IPACHTE#) %— 5-Na67 Harnett County Department of Public Health 29818
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: PONOFjA OSc zo
ISSUED T0: L7'0s r Q>US1a0E1dS V-4 L SUBDIVISION _ LOT # _'0\
NEW -I< REPAIg ❑ EXPANSION ❑
Type of Structure: SFS) lS5"b` J
Proposed Wastewater System Type: a5' es 960Va(h0 td SYYaE4h
Projected Daily Flow: G CC) GPD
Number of bedrooms: -- Number of Occupants: S max
Basement ❑Yes �KNo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes �9 No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �fZ Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Five years
❑ No expiration
Authorized State Agent: �` �i� Date: la.1a1114 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan ter permits. The permit holder is responsible for checking 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 constmction 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 r�
ISSUED TO: I --yo" �vsL-OQg> PROPERTY LOCATION: SP
SUBDIVISION LOT # a.
Facility Type: ea F0 55 x4e\� New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** _2s% j?, V'rK)0'4 (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Rte. (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 1'aSO gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 3 tii> feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 18 - inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: `1 Feet on Center
Soil Cover: 6 - t O inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 ty isny typerpecibed it different from the type specified ovir the application. / accept the rpeciffcationr of thin permit.
Owner/Legal Representative Signature: Date
This construction Authorization is mbject to re ion if the site plan, plat or the intended we changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with 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: I -,l-h NJ A7
eastruction Authorization Expiration Date: s�,�`.2.a—
HTE# 1-2 -5- t"1aS57 Permit # a'WN`Z
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Qo+�o sa i -o
ISSUED TO: L ?�- vNLtyrLSI�vL r( C�"TOL
SUBDIVISION — LOT #
Age
Authorized State nt: 1456LWDate: 17,7\1\7
M
PeL \
1 �
5�a2�
341
3S I Aw 6N,
T
70'
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: S $ p tI\ Design Flow (.1949): 6 OC') {
Location of Site: Property Recorded:
Water Supply: _Public❑ Individual ❑ Well
Evaluation Method*.] Aug Boring ❑ Pit ❑ Cut
Type of Wastewater: \Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth(IN .)
Sapro
Class
.1944
Resu
Horiz
LS
2-y
o- )—,
L5
f5
�s
Description Initial Rep ' System Other Factors (.1946):
System Site Classification (.1948):
Available Space 1.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR U`