IPACHTE# 1-5-`-13103 Harnett County Department of Public Health 29833
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_ MyQLH ss; L71.a N Pn
ISSUED TO: CR Py ToN oir So vp�p SUBDIVISION C Civ in. YN%cL,ILvotzyLOT # t
NEW REPAIR ❑ �XPAIISION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _Myw-s. iso c•� � >-�76
Proposed Wastewater System Type: VOt+-4E.N'a eN pa..
Projected Daily flow: 3 6 0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes �`lhr
Pump Required: ❑Yes P o ❑ 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: Z"5 Date: 2. s R SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantee "cam" of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the intended use changes. Tprovement 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, .1951, .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 attacked system layout
ISSUED TO: GL—""' oll"Seo Es URSTNN-Q j PROPERTY LOCATION: M U[tQiSt) NioW N (.o
SUBDIVISION GATa v E Mc s w at2y LOT # l (bFacility Type: r) P.. KvcwG ��f)0 � New ❑ Expansion ElRepair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Cct .4.16 I (Initial) Wastewater Flow: 3C D GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches s
Septic Tank Size 1000 gallons
Pump Tank Size gallons
Pump Requirements: (t. TEN vs.
Conditions:
Exact length of each trench ra-10 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
_ inches total
**If applicable: / understand the fryrtent type rpecifed if different /rota the type rpeci6ed on the app/kaftan. / accept the rpecifcationr of thin pemlit.
Owner/Legal Representative
construction Authorization is
plan, plat or the intended use
ions of the laws and Rules for
The
not be
Treatment and Disposal and to the conditions of this
Authorized State Agent: eG13 Date: 2
o suction Authorization Expiration Date:
Date:
SEE ATTACHED SITE SKETCH
HTE# U3
Permit # a `1`Z3
Harnett County Department of public Health
Site Sketch
PROPERTY LOCATON:�aGti soN�oi,N �p
ISSUED T0: G A uN NoMes of Sy SUBDIVISION Gast�s wvn�! LOT # �O
Authorized State Agent: �� lA wEL`TULY�Do Date:
L 2Gtt sot ovxj (0
Iq
'i OS —
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: IM 1
Proposed Facility: 3 Ov, ?Qt% Design Flow (.1949): 3E J??
Location of Site: Property Recorded:
Water Supply: 17kPublic❑ 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
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Minemlo y
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
L-5
4�
cc1
� s�+aF
of 45
ra
Q-3Lt
VFL:dNc
314L10
;:,Q 55)30
A5
.as
Description Initial Repair System Other Factors (.1946): p
Systejm Site Classification (.1948): { 5
Available Space(. 1945) . Evaluated By: Or
System T s)
Site LTAR G Cc Others Present:
,yam qF,