IPACHTE# I9-s-N3ac I Harnett County Department of Public Health 29831
Improvement Permit
A building permit cannot be issued with only an Improvement Permit �7
PROPERTY LOCATION: r..,-, 1{ t C . vrt,c k Zo
ISSUED TO: SsGwPKU4-(-- "0tvNL SUBDIVISION LOT#�
NEW A REPAIR ❑ [ PANSION ❑
Type of Structure: SCp "t -i '� 3'
Proposed Wastewater System Type: Q:576 1ZLOUr,Muw 735pw,
Projected Daily Flow: t -411Y 0 GPD
Number of bedrooms: �_ Number of Occupants: max
Basement ❑Yes XNo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Dyes :?5No ❑ 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: ❑ No expiration
Authorized State Agent:: ����� G L� iS Date: 1 I �q 116 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the nthe n a` . The permit hold- is mible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation 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 Deposal and to conditions of this permit.
Construction Authorization
Required for Buildine Permit
The construction and installation requirements of Rules .1958, .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
ISSUED T0:556cca s J CLL )4 Ont PROPERTY LOCATION: SeQ, m c vrw—,A
SFOL��"x53 SUBDIVISION LOT # 3
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes �K No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 'I- S-01 e 43-�C (Initial) Wastewater Flow: L"'l%Q GPD
(See note below, if applicable ❑) a/
� 5 °L o REtJ . SvS. (Repair)
Installation Requirements/Conditions Number of trenches 1-4,p
Septic Tank Size to o'J gallons Exact length of each trench 3 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: h. TDM vs.
Conditions:
Maximum Trench Depth of-. 14 inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover. 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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 rrrtem type rpeciled it different from the type rpeciled on the application. / accept the rpecacationr of th& permit.
Representative Signature:
Date:
This Construction Authouzat 'no to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transfected when there is a change in ownership of the site. This
Construction Ruthann ation is subject to complian th =
sions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: L15 Date: S),:tell )C
fol notion Authorization Expiration Date: 1
HTE# 141 - S' L43oC I Permit # 2.1331
Harnett County Department of Public Health
Site Sketch p
PROPERTYLOCATON: Sea,, C. 1�iu CAA MCA i.j,-)
ISSUED TO: S C- Ru%i.060, SUBDIVISION LOT # 3
Authorized State Agent:
-*sysseN. F'1PGC60
GPaLL w 1T,.1 p.Ni�
QVCS^S�o�S PaL�U�,
Date: 1,Las) I
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: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring ❑ 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
Mineralo y
,1942
Soil
Wetness/
Color
.1943.1956
Soil
De th (M.)
Sapro
Class
.1944
Restr
Horiz
34u
el
a—\d
G 5 L
g«
id-3�
S'SK C
Initial R pair System Other Factors (.1946):
System Site Classification (.1948):
Evaluated By: a
Others Present: