IPACHTE# (jb- 5-430 5 Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Imp
t� PROPERTY L(
ISSUED TO: T�iG�Acsle I-iO4,t YCc£ LLL— SUBDIVISION
NEW I� REP ❑ EXPANSION ❑
Type of Structure: 3Ci2 Y5' X Go' S
Proposed Wastewater System Type: a 5 %�
Projected Daily Flow: 3 ty GPD
Number of bedrooms: 3 Number of Occupants: G max
Basement ❑Yes faro
Site Improvements
Pump Required: []Yes ❑ NoL��May If based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet
Permit conditions:
Permit
prior to Construction Authorization Issuance:
Permit valid for.
cA
Bars
❑ No expiration
Authorized State Agent: /7 Date: o/r/$G /av/B SEE ATTACHED SITE SKETCH
The Tswana of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is rrtponsihle for checking with appropriate governing bodies in meeting their requirements. This
site is subject to mention 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 .1950, .1957, .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
i4ii
ISSUED TO: T(i0.t14s� l—Ipavrz— BCr� Lt,E., PROPERTY LOCATION: 35(0 (,c,L�y,�c„ r?irICL�- ('Cvrta�, �.
SUBDIVISION cc, lei--bb� pGr 6L LOT #
Facility Type: 35-L V5'x v' s� 9--We—w� ❑ Expansion ❑ Repair
Basement? ❑ Yes 9—I o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** G!5jo
r4dv -LroJ;og 4c_„1
(Initial) Wastewater Flow: 3&0 GPD
(See note below, if applicable ❑)
a 5%
/&-A ,,LhUn 5, s (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size 7 00c-> gallons
Exact length of each trench foa feet
Trench Spacing: g Feet on (enter
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil (over. inches
Maximum Trench Depth of: 04— inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4"
36" above the trench bottom)
in all directions)
Pump Requirements: ft TDH vs.
GPM
/NA inches below pipe
Aggregate Depth: AJA� inches above pipe
Conditions: t> - (3c>c'SLi
i Ip� "n 9
Nod— inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 speciled it different from the type spealed on the app/ic2#auc / accept the rpeciRationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to mention if the site plan, plat or the intended use changes. The construction Authorization shall net be transferred when there is a change in mnenhip of the site. This
Construction Authorization is subject to compliance with the previsions 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 1 ac's
OcY r� J G v2 z t �J Construction Authorization Expiration Date: Ci) a to / a0a3
HTE# S- 4 04J Permit # .)9 S,s°(
Harnett County Department of Public Health
Site Sketch
52 , 46a
PROPERTYLOEATON: 3rLyJ
ISSUED TO:—F(-;10- i4(> m_ Pcag, LLL SUBDIVISION C� LOT #
Authorized State Agent: Date: C-1 / aL C,I
�tsPA)Z An.`�
GUS 3u2Y PA-eL'tZ- L-,�
�;gbr�yuk�ol� (2s�,iS.G�
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: Tr"Cul
Address: C�1fp,bt,rj GI Date Evaluated: pt 'dL/aoi8
Proposed Facility: 3(S,L S� Design Flow (.1949): 3cp qor pc)
Location of Site: Property Recorded: Yos
Water Supply: ublic .Individual E] Well
Evaluation Method: ager Bo ' ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: (T, 3S aL
❑ Spring ❑ Other
❑ Mixed
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
.1943.1956
Soil
Depth IN.I
Salim
Class
.1944
Restr
Horiz
i,
L 4
c, -2q
X02 j_s
Vt
Q5
36 i«'
w fX(1
-7 5Y/i.466,�'Sf '
310
0 �}-
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945)` Evaluated By:
System T e(s) 'db o 4e�A Others Present: Anc]
Site LTAR