IPACHTE# 1 -7 -S -4a6,6 Harnett County Department of Public Health 29850
Improvement Permit 116
A building permit cannot be issued with only an Improvement Permit
�^ PROPERTY LOCATION:
ISSU D T0: �u C'Q S?tav�65 Ba+e55sT C1-IucuN SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: C-ya u rLr--,g
Proposed Wastewater System Type: Pu neo°/a QtDOV 4Qldw �jSsE v5
Projected Daily Flow a%-1 5S' GPD
Number of bedrooms: Number of Occupants: 55 ► max
Basement []Yes '�<No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required:.4es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Five years
❑ No expiration
Authorized State Agent: Date: 3 I 1 w SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees suance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requiremen°. This
site is subject to revocation if the site plan, plat. at the intended use changes. The mprovemeni 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, .1951, .1954, .1955, .1956, .1951, A% and .1959 are incorporated by references into this permit and shill be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: Gcoa„ 2)eaa46s �veT�s. CN�vaG ,J PROPERTY LOCATION: PaN RO
SUBDIVISION
Facility Type: Cti Q mc,' -,y �( New 11Expansion ElRepair
LOT #
Basement? ❑ Yes 'K No Basement Fixtures? ❑ Yes ❑ No (rsnNSFo
a�
Type of Wastewater System" Pu m p`Co 94;°[o o 44 SVS -%G NN
(Initial) Wastewater flow: a7 SS GPD
(See note below, if applicable ❑)
—T
Pvrn? 1 a �5o R6c� , Ca -Y5 (Repair)
Installation Requirements/Conditions Number of trenches Li _�'q s.»5
Septic Tank Size 31cl, 1 gallons Exact length of each trench 350 feet
Trench Spacing: 9 Feet on Center
Pump Tank Size x130 gallons Trenches shall be installed on contour at a
Soil Cover. G- 12 inches
Maximum Trench Depth of. 11'ZO-1 inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4"
36" above the trench bottom)
in all directions)
Pump Requirements: 6 i -.S7 ft. TDH vs. GPM
inches below pipe
(' f�p
Conditions: �ctcla VNCks.LPr' so ray CaNF6nRC:6 ?-AgZJIn.60 0au 5"—p—
Aggregate Depth: inches above pipe
W s1N inches total
a1r a�.O1NG C°N-msa'C C0C1' 'Seoc- Ia45TP'LLAC 94-0 ".C- HGPL-(H 0
PAtCt'AEIJ�
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"If applicable, l underreend the ipem type rped fled 1i different tmm the type .rpeciped on the app/kation. l accept the rpecili'm nr o/this permit.
Owner/Legal Representative
IIIIa LonumClean Au - is subject to revocation if the site plan, plat, or the intended use changes. The Constructions Authorization shall not be transfers
Construction Authorization is subjea to E a wish the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: Date: T, .
Construction Authorization Expiration Date: 3
Date:
when there is a
SEE ATTACHED SITE SKETCH
aJ.6
NTE# fo Permit # `aol`0
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: f4 N" Ro
ISSUED T0: Gayw 5Qaw65 S. Ciyuncv SUBDIVISION LOT #
Authorized State A¢ent: QGJ3s�Di wESL�ot savtg�Date: 3I 1-%
-* MQNIFOL-D DE5)6N
SEE ArSp1GW 69 51-X66'"6 qDFS i G N
�a S�H�o TABS
GwT6 qg,%%-vE 581 P2C55U1L(- i0Eao
STaNO P1QE oQ Pr1 t $sV(iE Gp AGE To Y,\@pbvv-r- 90.est-V14 MC4>10
'*- 0 0 5 e = G S' b-,
* SVQQLy L)NC. SIgp,LL g[-. Nn Leap 1'%" hNOC2 ANy Wp%FSL L- NC
tisk C.onrp nr� P- Opsv��s A< PnElvsSc L u,� Int G l 1C
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: Design Flow (.1949):
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
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
th(IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Site LTAR
aL)
G
Description Initial
Repair System
Other Factors (.1946):
System
Site Classification (.1948):
Available Space (.1945)
Evaluated By:
System Type(s)
Others Present:
Site LTAR