IPACHTE# I_%' �y�9�`► Harnett County Department of Public Health 29825
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: SL�NoEo�est V-11ISSUED T0: N GL5 r $cLL SUBDIVISION _ LOT #
NEW REPAIR ❑ EXPANSION
Type of Structure: _P)pi,, H ocdG (1L1
Proposed Wastewater System Type: 9\ RGDULT aA Sys , EM
Projected Daily Flow: 6 6 O GPD
Number of bedrooms: "3 Number of Occupants: -Cmax
Basement ❑Yes )<No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes X% ❑ 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
Permit conditions: e ❑ No expiration
Authorized State Agent: Date: N 1 114 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the msu other person. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site pian, plat or the intended use changes. The Improves I ermit 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, .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: Gt£� $ C L -L PROPERTY LOCATION: a3r6tz RD
SUBDIVISION LOT #
Facility Type: MAN NA o m C Q 1 s f7) 1, New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** QV/ 0 SA6D V QT N 1) (Initial) Wastewater Flow: 3 L 0 GPD
(See note below, if applicable ❑)
RCP V G 10 a '1 b (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size L o 0 o gallons Exact length of each trench Cv O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 11-aL , inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacin : C) Feet on Center
Soil Cover. 10 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: / understand the system type speciled is different hum the type speciled on the app/ication. / accept the specihcationr of this permit
Signature:
construction Authorization is
Authorized State Agent:
at or the intended use changes. The eonstrua
the Laws and Rules for Sewage Treatment and
Authorization
Date:
nation shall not be transferred when there i
and to the conditions of this permit
Date: 1 11 18,
Expiration Date: I ),lj
SEE ATTACHED SITE SKETCH
HTE#
Permit # agSa5
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: S AwaftL�E2
ISSUED T0: }?GL G—tt SUBDIVISION LOT #
Authorized State Agent: i26�SILN6ZTo N Date: t 15 I 1�8
30�
5 P4961rEJL. e.0
350
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: 1
Proposed Facility: i BsZe Design Flow (.1949): 3 6(7 p a Property Size:
Location of Site: Property Recorded:
Water Supply: ❑ Public[] Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method:4Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Eirsewage ❑ Industrial Process ❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILEFACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
O-jp
C 5
3D 31
•S
O= L
C_ 5
5
Description Initial Repair System Other Factors (.1946):
Syste4 Site Classification (.1948):5
Available Space (.1945) Evaluated By: Q,
System s) Others Present:
Site LTAR •'S