IPACHTE# 1% - 5-4'a.503 Harnett County Department of Public Health 29826
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
-----�- PROPERTY LOCATION: 1kits —iy (jpcoA65 C.ia Q—,ISSUED T0: ST GvG s Ai O MG�Jl SUBDIVISION S e,sw v e, PG\rrS EQ -6 a N LOT # 1
NEW' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SVO (-t(z; �Q
Proposed Wastewater System Type: a� %• (Zany[�ilOta 3
Projected Daily Flow: 3 Coo GPD
Number of bedrooms: _ Number of Occupants: 4�l maz
Basement []Yes ''No
Pump Required: ❑Yes aX No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ')Z Public ❑ Well Distance from well feet Permit valid for. X Five years
Permit conditions: ❑ No expiration
Authorized State Agent::
The issuance of this permit by the neallh Department in no way gunanteeante
site is subject to revocation if the site plan, plat, or the intended use changes. The n
the laws and Rules for Sewage Treatment and Disposal and no conditions of this permit.
Date:
SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsigle for checking with appropriate goveming bodies in meeting their requirements. This
vement 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 of Rules .19S0, .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: PROPERTY LOCATION: \i01-1-4 `322 A 65 C.,A. R.D.
SUBDIVISION 3 o sv-iva, Pl;> Cn sssm LOT #
Facility Type: SFSJ�$Qex q CSD New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" a S °/ < RC o v vv� 1 v n % Sys ; C m (Initial) Wastewater Flow: 3G O GPD
(See note below, if applicable ❑)
t25�� e '�Z6py G`> 10 ray Sym (Repair)
Installation Requirements/Conditions Number of trenches --
Septic Tank Size to Ogallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. `o inches
Maximum Trench Depth of-. 14 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: (t iDH vs. _ GPM R inches below pipe
Ig Aggregate Depth: inches above pipe
Conditions: 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 ryrtem type .specified it different Imm the rype rpeciled on the app/icadon. / accept the Jpecilcationr of this permit.
Date:
This Construction Audmrzanon to revoation if the site plan, plat or the intended use changes. The Construction Authorization than not be transferred when Mere is a change in ownership of the site. This
Construction Authorization isect to compliea`e\ s inions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: w »-:! Date:
Authorization EXDlratlon Date:
HTE# I_� - 5-
Permit #
agIt2,b
Harnett County Department of Public Health
Site Sketch
PROPERTY LOLATON: SPa1 (5 C.v\- 'f D
ISSUED TO: r/ SUBDIVISION s osuai) ��lTF1?, O N LOT # i
Authorized State Agent:S�}!t v62 Tozcs x(�y� Date: > >` 1f
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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 . -3 �j Q ZSR Design Flow (.1949):: i�, �, J�
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: f3,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 J
.1956
Sapro
Class
.1944
Restr
Horiz
L5
C s
zslvc
S5 c it-,
Q r.�
I�
C
3ti
rY m
3
v art
C 5�
S
Description Initial Repair System Other Factors (.1946): ZZ,,
Systeffi Site Classification (.1948):tl
Available Space 1.1945) 1 Evaluated By: pl�
System Type(s) Others Present: --
Site LTAR .'a.