IPACHTE# 14% -r-�'L�33Es`b Harnett County Department of Public Health 30002
Improvement Permit
A building permit cannot be issued with only anJDlprovement Permit
PROPERTY -0-11011.(( 1� acs Qp
ISSUDTO: ce N%QAX.'tson t. L SUBDIVISION Orasct•.oarl LOT#
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _S%:iJ
Proposed Wastewater System Type: 2.5 a P�GawY tors SY7 SGT
Projected Daily Flow: 60 D GPD
Number of bedrooms: S Number of Occupants: t 0 max
Basement ❑Yes *�No
Pump Required: []Yes ❑ No �X 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. �Ive years
Permit conditions: ❑ No expiration
Authorized State Agent:: ¢J6)1 Date: 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Depanment in no way guar issuance of other permits. The permit holdef is respomible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revoution if the site plan, plat, or the intended use changes. Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provaiom 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, .1957, .1954, .1955, .1956, .1957, .1959. 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 T0: H t Cv vs s2yGS cess 1 N L PROPERTY LOCATION: O o vs 9-0
SUBDIVISION Off',Zn0,n LOT # 2.`1%
Facility Type: SFO L54'�wr' I-) �K New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? F-1Yes 11 No
Type of Wastewater System** as °gym lGou GS 1 e r Sy : _ (Initial) Wastewater Flow: 0(3 GPD
(See note below, if applicable ❑)
2.S a/ o V-k� . . (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size sas 0 gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 13 2Xzi inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: it. TDM vs. GPM
Conditions:
Trench Spacing: 011 Feet on (enter
Soil (over: 6 -IZ)-- inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( 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 s}rtem type specified iJ different /rom the type specified on the app/kation. / accept the specilcatiom of this permit
vencrvLegas nepresemauve signature: Date:
This Construction Authorization is subject to revocation if the site plan, plot or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is sub dto comp h rmisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: aL Date: 73 1s
«ion Authorization Expiration Date: 3 1i a;3
HTE# 1t-3346� Permit # 300O'�.
Harnett County Department of Public Health
Site Sketch
CoPROPERTY LOCATON: docs ZD
ISSUED TO: ^ �-i CSNZUGi%CN lroL SUBDIVISION C)p,4.00f 1 LOT # a�
Authorized State Ayem = 6L)N67- I01-x,5QQVF) Date: 3 13I l�
!-)0?62,R,ro9 C)¢w L-
a.00
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: 1
Proposed Facility: rj suz2 Design Flow (.1949): C(Yj
Location of Site: Property Recorded:
Water Supply: Public❑ 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
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILEFACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
j4e
,u
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948): s
Available Space (.1945) J Evaluated By: Q'(
System Type(s)) Others Present:
Site LTAR . -e