IPACHTE# I'Z ia Harnett County Department of Public Health 29834
Improvement Permit
A building permit cannot be issued with only an Improvement Permit p
PROPERTY LOCATION: GAraImaW N
ISSUED T0: �t11dtLCaQt++o..vy iy�5t�n kz�"c.-Py SUBDIVISION LOT #
NEW'K REPAIR ❑ EVANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
M
Type of Structure:
ck" .
1 o 1 w11 11^ ^
Proposed Wastewater System System Ty�
w uC;. a ow, 5611
Projected Daily Flow:
GPD
Number of bedrooms:
3
Number of Occupants: b max
Basement ❑Yes
KNo
Pump Required: ❑Yes
❑ No
X May be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community A Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Five years
❑ No expiration
Authorized State Agent:-1�� Date: �)�1i SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in na way guarantees t ounce of other permits. The permit holder is res4ponsible 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. 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, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in mcordance
with the attached system layout
ISSUED TO:iC>r\SLQx,,P, 51"Vsss� �ssycq PROPERTY LOCATION; CAt^�2Os ii\� R�
SUBDIVISION LOT #
Facility Type: "a N 13yanfi�lC ��� xNew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes --!�KNo
Type of Wastewater System** )�ZE,avc-,, oa S-y6,—M (Initial) Wastewater Flow: 3GO GPD
(See note below, if applicable ❑)
S FA. (Repair)
Installation Requirements/Conditions Number of trenches T
Septic Tank Size t60 v gallons Exact length of each trench \\ S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: \"i -36 inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: ft. TDH vs. _ GPM
Conditions:
Trench Spacing: 'I Feet on Center
Soil Cover: Co — 11— inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 /r different hof the type speared on the app/nation. / accept the sperileationr o! this permit
ownentegal ne resentauve signature: Date:
This construction Authorization is revocation if the site plan, plat. at the intended use changes. The Construction Authorization shall not be translerred when there is a change in ownership of the site. This
Construction Authorizatio to comp w ovisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: PL Date: z W T$
truction Authorization Expiration Date: ';IQ a:3
HTE# 1-73 Permit # a5'b34
Harnett County Department of 1-�iblic Health
Site Sketch
PROPERTY LOCATON:CAn�wr N iL iZo
ISSUED TO:n ir�¢e, J sT ` ZF ss ICA SUBDIVISION LOT #
Authorized State Agent: 7iRQf 5 Date:
GP+nCnA.N H1L� RD
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: Date Evaluated: _
Proposed Facility: 3 9�
p`� Design Flow (.1949): 7(7� jf" 1 Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well ❑ Spring
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 'S Sewage ❑ Industrial Process ❑ 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
Sapm
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
L5
�s
L.5
Description Initial Repair System Other Factors (.1946):
S st Site Classification (.1948): 5
Available Space .1945) Evaluated By: c�-
System T e(s) Others Present:
Site Ll AR
l7. \ ACS CL 1 d .5c