IPACHTE# I"I Harnett County Department of Public Health 29822
Improvement Permit
A building permit cannot be issued with only an Improvement Perm' f�
PROPERTY LOCATION: tz.
ISSUED TO: O a—ti k a 0tl JJ SUBDIVISION W oars 2. LOT # B Pt
NEWS REPAIR❑ PA IDN ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: MVO �31aii�/ HQC— �taLA6E�,ii�'(i�
Proposed Wastewater System Type: :Zb CAN
Projected Daily Flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: G max
Basement []Yes �' No
Pump Required: ❑Yes �@ o ❑ May be required based on final location and elevations of facilities
Type of Water SuPPI�: ❑ Community e15k Public ❑ Well Distance from well feet Permit valid for. -_
❑`�Five years
Permit conditions: ` c to expiration
Authorized State Agent:: M
R:l
The issuance of this permit by the Health Department m no way guarantees the m
site is subject to revocation if the site plan, plat, or the intended use changes. The Impn
the laws and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Date:
SEE ATTACHED SITE SKETCH
other permits. The permit holder i1 responsible for checking with appropriate governing bodies in meeting their requirements. This
cont Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The construction and installation requirements o1 Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 arc incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout p
ISSUED TO: �9 o c�..7 PROPERTY LOCATION: km C9 v.oC;,L f)0
SUBDIVISION W em'a. LOT # Ok
Facility Type: M oo \c9) DEQ. Ggaa.AG6 X New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" (--0%4 *q 6 Clcz•ri rXI (Initial) Wastewater Flow: 3X0 GPD
(See note below, if applicable ❑)
C.os�vGvSTriNP+L (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size l ca v o gallons Exact length of each trench 30 o feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. C - leg inches
Maximum Trench Depth of: "1 30 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. TDH vs. GPM
Conditions:
b inches below pipe
Aggregate Depth: I inches above pipe
1a, inches total
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.
"If applicable: / understand the sXpim type .specified is diherent from the tipe speciled on the app/ication. / accept the spealcaixo7i o/this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revontion if the site pian, plat or the intended use changes. The Construction Authorization than not be transferred when there is a change in ownership of the site. This
Lonstmctmn Authoneation is subject to ca wit visions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: i5 Date: 1 19 q
nstp ipn Authorization Expiration Date: 1,1/1%
HTE# 17`5-Zi�%�`l ;tja�i 11 Permit # aR
Harnett County Department of Public
Site Sketch
Health
PROPERTY LOCATON: 14,1(. "'i
ISSUED TO: Moo // SUBDIVISION \10 m a. LOT # S'K
Authorized State Agent: Date: t 1z� IT
Q.Kiam
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: ,� 1
Proposed Facility: Design Flow (.1949): Q r J
Location of Site: Property Recorded:
Water Supply: [Nublic❑ Individual ❑ Well
Evaluation Method: El Agger Boring E2,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
Resu
Horiz
Q�)�a
A-) uwf
Description Initial. Rair System Other Factors (1946):
System I Site Classification'( I948ie
Available Space (.1945) WEvaluatedBy:� \
System Type(s) N r+ Others Present:
Site LTAR , tx