IPACHTE# 1-x-5 d13 Harnett County Department of Public Health 30010
Improvement Permit
A building permit cannot be issued with only an �jmprovement Permit
PROPERTY LOCATION: 129a0-46I�2Dat L
ISSUED TO: "—(:INS 1OW j,,V %K dM \`` � 0 q� SUBDIVISION 5 U a ry' yi LOT # i
NEW,,X REPAIR ❑ EXPA�SION [I Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: )F� LHS X�6J
Proposed Wastewater System Type: `;LS10 96DVGv'LesN'/3:Ert)
Projected Daily Flow: '5560 GPD
Number of bedrooms: 2) Number of Occupants: —5 --max
Basement ❑Yes ''No
Pump Required: []Yes No ❑ 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. Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent: Date: 3 I aA 11R SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder i responsible Mr 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 be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws 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, .1952, .1954, .1955, .1956, .1951, .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: PctELri»" SwUSrpcn No(AE5 PROPERTY LOCA t�C'NE l nPty=alL-
SUBDIVISION UM MEQ-L\t4 LOT #
Facility Type: `JF.D �yC> nLk(a� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Baseent Fi tures7 ❑ Yes ElNo
Type of Wastewater System**,a��: a nr SYSTean (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Pump Requirements: H. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: PFiLr-vy—' scs�oa��toQasra.�p , QtePLicA7�s 155, V%N1040) oiF 4' inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undemand the .ryrtem type tpedifed it different from the type specAed on the app/ication. / accept the rpecilcadonr of this permit
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 use. This
Construction Authorization is so V=
pliana with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3 18
Construction Authorization Expiration Date: °
1 �%
RUoUGS iO a syi.
(Repair)
Installation
Requirements/Conditions
Number of trenches 1
Septic Tank
Size L 000 gallons
Exact length of each trench "WO feet
Trench Spacing: Feet on Center
Pump Tank
Size gallons
Trenches shall be installed on
contour at a
Soil Cover: Go inches
Maximum Trench Depth of:
1 G_ '4. inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level
t"777-1/4"
36" above the trench bottom)
in all directions)
Pump Requirements: H. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: PFiLr-vy—' scs�oa��toQasra.�p , QtePLicA7�s 155, V%N1040) oiF 4' inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undemand the .ryrtem type tpedifed it different from the type specAed on the app/ication. / accept the rpecilcadonr of this permit
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 use. This
Construction Authorization is so V=
pliana with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3 18
Construction Authorization Expiration Date: °
HTE# lE9 - '5 -
Permit # 30o\p
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: o a$TOm NAGnES SUBDIVISION SvmmFnA_iNLOT #
Authorized State Agent: CO LIN En- —T-0tX-S,00i Date: 3 1 .01j` 14
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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: 13 Q Mq i Design Flow (.1949): •3�0�('�
Location of Site: Property Recorded:
Water Supply:Public❑ Individual ElWell
Evaluation MethodAug Boring ❑Pit ❑ Cut
Type of Wastewater:-JZ,Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
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
�
'"5
s�
o-lg
G �
vpr, Nslve
2I ft
P9
a-
a'1�
G u
vPn. ro5'N4
►� $j,
531csGL.
R'2, s�'Se
l
) o'1si,-7 1 a.pr ��,
4 f li
Other Factors (.1946):
Site Classification (.1948)PS
Evaluated By: 0,(
Others Present: