IPACHTE# 11 Harnett County Department of Public Health 29847
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 002Weo,
ISSUED TO: MA.X �fa
4vcitl5yr Lace" SUBDIVISION — LOT # a.
NEW REPAIR❑ KPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: MwrS. Hrs\e _,a
I�x3J
Proposed Wastewater System Type: C.o"'J&'r t ON q L
Projected Daily Flow: 2 p GPD
Number of bedrooms: oi(nrtD Number of Occupants: _ L4 ax
Basement ❑Yes JKJ
-.�No
Pump Required: Dyes 15,NO ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public '12� Well Distance from well Go het Permit valid for. X,aFive years
Permit conditions: _ e ❑ No expiration
Authorized State Agent:: Date: _ 3 IS I )y SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu ther permits. The permit holder is rAponsible 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 Improeem ermit shall not be affected by a change in ownership of the site. This permit is subject m compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and m 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 accordance
with the attached system layout.
ISSUED TO: M Aar �P rz e4 oa W PROPERTY LOCATION: No CLSLl N G -row �Xs
, / SUBDIVISION
N\
Facility Type: M k,.4, t""OM� 01i ��� New ❑ Expansion ❑ Repair
— LOT #
Basement? ❑ Yes XNo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** C "-46,N TIOON P%L
(Initial) Wastewater Flow: ago GPD
(See note below, if applicable ❑)
C-0rvVbnri\0N9kL
(Repair)
Installation Requirements/Conditions Number of trenches Q,
Septic Tank Size Fiaayae tr•6 gallons Exact length of each trench 16 feet
Trench Spacing: �i Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover. inches
Maximum Trench Depth of 1`% inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4"
36' above the trench bottom)
in all directions)
Pump Requirements: (t. TDM vs. GPM
inches below pipe
n
Conditions: IF PrcEP6o Si5 6m� Usco �o S�ier.Tg't.E 1'�sar
Aggregate Depth: inches above pipe
�EOvC�vtltJ inches total
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.
**If applicable: / understand the system type specified is different from the type ipecifled on the app/iration. / accept the sperifiratienr of this permit.
This Construction Authorization is subject to
construction Authorization is sultimLm com
Authorized State Agent:
at, or the intended use changes. The Construction Authorization shall not be smothers
the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
S �)�
Date: '�
(oii4m ction Authorization Expiration Date:
Date:
SEE ATTACHED SITE SKETCH
HTE# ��'� Li3a1`l Permit # �,1qL -7
Harnett County Department of 1"ublic Health
Site Sketch
PROPERTY LOCATON: 11)C'T0N P�
ISSUED T0: �A `D4 S W oR SUBDIVISION — j LOT #
Authorized State Agent: Date: _I I7�
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: �.Afl2m "fit t4 Design Flow (.1949): �40
Location of Site: Property Record
El Supply: Public❑ Individual Well
Evaluation Methoa'..tAu er 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
ark
cr16
G SL
Vr4� >,Slv4
l6 -3 Y
s8u s
G'p S.�se
csaor 3 3 ''
p5
, _5
Description Initial r System Other Factors (.1946):
Systcny Site Classification (.1948
):4�5
Available Space (.1945) Evaluated By: C
'
AS stem Type(s) Others Present:Site LTAR
-