IPACNTE# I%— 5 -%LT 3Q Harnett County Department of Public Health 30004
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/— PROPERTY LOCATION: OOc� P
ISSUED TO: �.� `Oc+t50.UayQQS IN G SUBDIVISION OLa11%xw,0aT'S LOT #a9
NEWX REPAIR ❑ ERP'nON EI Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5F'0"S6
Proposed Wastewater System Type: a S®e GptXxtostSti3tEM
Projected Daily Flow: Liw6 0 GPD
Number of bedrooms: to Number of Occupants: max
Basement Dyes WNo
Pump Required: ❑Yes ❑ No —;Oay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well feet Permit valid for: likTive years
Permit conditions: ❑ No expiration
Authorized State Agent: ��� '\�\\ RlahS SEE ATTACHED SITE SKETCH
K Date: '� s3 se8
The issuance of this permit by the Health Department in no way guarantees the issuan oder permits. The permit hdder is respo sible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it 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 Permjt)
The construction and introducer requirements of Rules .1950, .1957, .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: N -A C.OraSsavC, oQ,S I N G PROPERTY LOCATION: C�) oc6 PJ
rSUBDIVISION ON'4r'o0—T LOT # a9')
Facility Type: SFSa9 'S6 New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Q..5 CV R 'R'Eo U o N Gym (Initial) Wastewater Flow: y'8 Q GPD
(See note below, if applicable ❑) e
a S V -Cm v cia l0 a 573. (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size S o(Zso gallons Exact length of each trench t feet
Pump Tank Size 1 114t a gallons Trenches shall be installed on contour at a
lso w G6oE9 Maximum Trench Depth of:y% inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: h. TON vs. GPM
Conditions:
Trench Spacing: 1) Feet on Center
Soil Cover: C� 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 l understand the system type speciled is different from the type speciled on the application. l accept the specilcetionr of this pecmlt
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Combustion Authorization is subject to sn�ii lrumuci provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: 'QLxS Date: 3
Authorization Expiration Date: 31�1 a3
SEE ATTACHED SITE SKETCH
NTE# 1i'—;L13LA30 Permit # 3000q
Harnett County Department of Public Health
Site Sketch
PROPERTY LOLATON: DOas
ISSUED TO: H^A-Cow i2v4X00 1 N L SUBDIVISION OLOT# 29°1
Authorized State Agent:� RGAS �aL�V(� �OLxSDOj� Date: 3 �ljlT$
+K'1r— A Pump 15 NEB.D6—r--)
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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: I� 6q2 c^ Design Flow (.1949): Ll
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Au er Bo ing ❑ Pit ❑ Cut
Type of Wastewater: � Sewage E]Industrial Process
Sheet:
Property 1D:
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
MineralogyColor
.1942
Soil
Wetness/
.1943.1956
Soil
Depth (M.I
Sapro
Class
.1944
Restr
Horiz
1
1-5
�t
G Zl7
5
Via Ns;i
C
t
LS
r.,51 -j(
>z
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): <`
Available Space (.1945) 11 Evaluated By:-�
System Type(s) 'J-5 % Others Present: .�
Site LTAR
1rvr;C r d"30%