IPACHTE# M-S-t-13DQ, ., Harnett County Department of Public Health 29830
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: SPR.Irati 1-iaa.+. G,�acza
ISSUED TO: STGrooctuy� Hotn� 91 ,vtAfag SUBDIVISION LOT# ,
NEW, REPAIR ❑ PANSION ❑
Type of Structure: 5G0 k"3) "k i
Proposed Wastewater System Type: 2197o RGoucn; m,a SYS M
Projected Daily Flow: 4'%Ib GPD
Number of bedrooms: s 1 Number of Occupants: i max
Basement ❑Yes ;R'No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ',VZ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
;Five years
❑ No expiration
Authorized State Agent: h Date: 1 dA YZ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees aorto of other permib. The permit holder is responsi le 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 Im vement 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 (or Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements o1 Rules .1950, .1952, .1954, .1955, .1956, .1957, .1956. and .1959 are incorporated by references into this permit and shall be inn Systems shall be installed in accordance
with the attached system layout
ISSUED TO: S14caci<ugC. NocnE QU>_oEQs PROPERTY LOCATION: syalHG )1i\LL G"Wcu.. Q.D
l SUBDIVISION LOT # rJ\,
Facility Type: '5 two (3 "6`t/ New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement F�pjtures? ❑ Yes ❑ No
Type of Wastewater System'* a.5`� e `�GOuG. a to(Initial) Wastewater Flow: t -NO GPD
(See note below, if applicable ❑)
Q650/e 1ieo` • (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1000 gallons Exact length of each trench lQn feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of-. 1,% inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: °S Feet on Center
Soil Cover. —4;--Ijnches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATIONS MUST BE IOFT. 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 specified is diherent from the type specibed on the app/nation. / accept the spechlrewionr o/ is permit
Owner/legal Representative Signature: Date:
This Construction Amhonaanon is subject to revoanon if the sne plaq plaC or she intended use changes. The Comtruction Authonation shall not be tanderred when there is a change in ownership of the site. This
mnstmcuon
Authorized State Agent:
provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: 1141
Authorization Expiration Date: 1
HTE# fin" 5- �t3063
Permit # a�g�
Harnett County Depailment of Public Health
Site Sketch
PROPERTYLOCATON: se2,Ni, H X�L CbUQzCA, ?.0
ISSUED T0: S eN�svaE NOenG $u+SER,5 SUBDIVISION LOT # 1
Authorized State Agent: w Date:
�66-nTen FLRs6E.D
CPLL `«f QvE55'uN%
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: t-y3j4.tM Design Flow I. 1949).1�4 N�0
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Au er Boring ❑ Pit El cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property I D:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Rest/
Horiz
Profile
Class
& LTAR
t
S j
-la
G 5
1
Vft ns l''W
5L
1M n �
YC -
0 -)e
0-)e)
G =1
Tt tiS�P
�xC-
F\
fs
9q W3
Description Initial Repair System Other Factors (.1946):
S s[ Site Classification 1.1948):R%
Available Space (.1945) 4 Evaluated By: 4S
System T e(s) -o Others Present:
Site LTAR C1 -;Z