IPACHTE# Harnett County Department of Public Health 30017
c-i3`j -70
Improvement Permit
A building permit cannot be issued with only an Improvement Peml(t
ISSUED TO: gbly RtvK 'i>OwEN SUBDIVISION
PROPERIONCATION: *a. s1 -011i LOT#
NEW L REPAIR ��❑ .A PA ❑
Type of Structure: S t -i
Proposed Wastewater System Ty e: a �GiCs d N �5itsrT
Projected Daily Flow. `3�GPD
Number of bedrooms: 3 Number of Occupants: max
Basement []Yes ';KNo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Dyes >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:: trs\i Date: J �) tR SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in na way guarantees their !ants of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revoation 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 pmvisions 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, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references inm this permit and shalt be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: 8157" Y\e"N (2:>0W6N
PROPERTY LOCATION: Z-56- ( I" 1JPN\5
SC"D��--) xX 1, SUBDIVISION LOT # _
Facility Type: 1�New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? El ❑ N
Type of Wastewater System** aS'10 CZt;OvGY s N �YSSE-M (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) s
a S 10
�ci0. S-1-5. (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size gallons
Exact length of each trench 12 eZD feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing 9 Feet on Center
Soil Cover: 1`19 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
**If applicable: / andeannd the system type specified it different hom the type specib'ed an the application. l accept the rpedlcanonr of this permit.
Signature:
Date:
This Construction Authorization is supe rotation 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
Construction Authorization is subrt to compnance`wit ns of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: RG}YS Date:
Cons c iion Authorization Expiration Date:
L -N3 u1 O
HTE # I 'I " S— L4'jy1 )
Permit # 300 T�
Harnett County Department of INtblie Health
Site Sketeb
� ` PROPERTY LOIATON: S 056y W 11-7- lk\tn5 �
ISSUED TO: gC � ^�cJ Qew8�1 SUBDIVISION
Authorized State Agent CDLw ft j oLK5D0(¢
Date: _ 3_1 —a � Tib
,JOS6� Wlt—�SAcnS �
LOT #
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: -4, 6QQ *4,, Design Flow (.1949): 364 ') 0
Location of Site: Property Recorded:
Water Supply:Public❑ Individual ❑ Well
Evaluation Method�Auger Bonng ❑ Pit ❑ Cut
Type of Wastewater:,Sewage ❑ 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
&LIAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
vft'51 ?
9 T
Description Initial Repair System Other Factors (.1946):
Systein Site Classification (.1948):5
Available Space(. 1945) Evaluated BydQ
system T e(s) iM4 e4b. 5 Others Present:
Site LTAR