IPACHTE# ft -5- 43%� Harnett County Department of Public Health 30024
Improvement Permit
A building permit cannot be issued with only an mprovement Permit
PROPERTY LO[ATION: Ry v02 -0
ISSUED TO: YLESL 1" sPSSNGWS SUBDIVISION LOT #
NEVVV REPAIR ❑ jl(PANSIO�❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: fl W Ttil� ��anSEi
Proposed Wastewater System Type: C "-4 ru aT b N N 4
Projected Daily flow: -N 6 O GPD
Number of bedrooms: 3 Number of Occupants: —r—max
Basement ❑Yes ';kNo
Pump Required: ❑Yes -,;:KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -JW, Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: \ ❑ No expiration
Authorized State Agent:: Date: -A-ck 1� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Nealth Depa -,or in no way guarantees the a of other permin. The permit holder is responsible for 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 hour nieor 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 .1958, .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: `/LI SL MPTiH6w5 PROPERTY LOCATION: 9' ,-, QD
SUBDIVISION LOT #
Facility Type: OW n4 Q;Rk5Q New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'M No y�Ba�sement Fixtures? El Yes 11 No
Type of Wastewater System** �0 1H6 rT�ctsvAt_ (Initial) Wastewater Flow: 3C0 GPD
(See note below, if applicable ❑)
Co cwv 6415 0 N A\.- (Repair)
Installation Requirements/Conditions Number of trenches Q
Septic Tank Size t O o O gallons Exact length of each trench 1 S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 'ZL4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. _ I a— inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 rystevn type speciled is different from the type spedled on the application. / accept the specilcatiom of this permit.
Signature:
Date:
loss conswmon numo is subject to revaca8on it the site plan, plat or the intended use changes. The Construction Authoriaanon shall not he tmnslerred when there is a change in ownership of the site. This
Construction Authorization is subject to cam withtheme[ "sions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �� , :!� RL -1i5 Date: 3
Authorization Expiration Date:
HTE# Permit # 3D
Harnett County Department of 1"ablic Health
Site Sketch
PROPERTY LO(ATON: \\try vol '?-o
ISSUED T0: �9 En Ma"S1 W6ty SUBDIVISION LOT #
Authorized State Agent: Q..s Date: 3�a�+114
ate'
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: 3 6CQ`I'� Design Flow (.1949):3 �� I
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: ger Boring Pit cut
Type of Wastewater: -19, 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
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minemlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.I
.1956
Sapro
Class
.1944
Restr
Honz
o- LN
6
�p
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):-5
Available Space .1945 Evaluated By:
System Type(s) Cr/ tv Go Others Present: —�
Site LTAR
ax -7S � Olt,