IPACHTE# 1`51-5-43asL} Harnett County Department of Public Health 29843
Improvement Permit
A building permit cannot be issued with only an s4provement Permit
nt� PROPERTY LOCATION: rONflE(M.5p
ISSUED T0: —ICS M � v z_Th QL 0J N SUBDIVISION LOT # D.5
NEW REPAIR ❑ EXPANSION ❑f� Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M%, t . "O m& cwt 7 iJ
Proposed Wastewater System Type: S7v V E.D V (:761 n,d yr E•n
Projected Daily Flow. 360 GPD
Number of bedrooms: 3 Number of Occupants: � max
Basement ❑YesNo
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community K Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
Five years
❑ No expiration
Authorized State Agent: RG*5 Date: a —A3 1 7q SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guava a issuance 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. The Improvement Permit shall not he aliened 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 Rues .1950, .1951, .1954, .1955, .1956, .19S7, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the atmched system layout
ISSUED T0: g I z L/ 1 i A uz o5N PROPERTY LOCATION: 90"Qaz,0ia QX
� ,ll SUBDIVISION LOT # 2:5
Facility Type: MAa. lrNac�G �.16';,M�J New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** _ 9 S°� o 'R Ga v c's O j SYs aGlr (Initial) Wastewater Flow: 3f 0 GPD
(See note below, if applicable ❑)
a5/-
QCao• Syt, (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size boo gallons
Exact length of each trench C<aO feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 11--^" inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDM vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: C ^ J inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable / understand the synem type specified is different fmm the type speaffed on the app/nation / accept the speeiltatianr of thii permit
Owner/Legal
cmnstuction Authorization is
plat or the intended use changes. The construction Authorization shall not be transfer
of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: RGA Date:
Construction Authorization Expiration Date:
Date:
e in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# L -'-3D5
Permit # r `i��i3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Po~'Dazb ►.
ISSUED T0: $ r +— q u m t SUBDIVISION
r LOT # Z S
Authorized State Agent: Q� 5 6-i,(6L, TOLy$DG( Date: � l3, aY
CALL 'w t`C it Q U ES'C 101.1-5
QQ.1 02 � G 1 � ST Q, LLLI-C V 0 �l
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: 3 �R'M Design Flow (.1949): 3 L I J
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method;�:�uger Bo 'ng [)Pit ❑ Cut
Type of Wastewater: Sewage El 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
�
1_g
o•�
0•21-1
G Z.S
,rr•2.�51^pP
Ly,•t•¢t
s3K sty
`=2 �y)„ fp
QS
v F+L NS`s
Description Initial Repair System Other Factors (.1946):
Systvia Site Classification (.1948): t
Available Space (.1945) j 11 Evaluated By: <..X(
System Type(s) 4.1 Others Present:
Site LTAR
v
3 "c, a @- It _-J +