IPACNTE# t'0_&L%_6 _n lZ, Harnett County Department of Public Health 30040
Improvement Permit
A building permit cannot be issued with only aImprovement Permit
D \\ PROPERTY LOCATION: �EPaVTIFvn \_t,)
ISSUED T0: l 26 G1Sa 0 4 ! �b� o an \ o MES SUBDIVISION S v m mC(L 7_1 N LOT # $O
NEW.X, REPAIR ❑ ERP,fINSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFO C, j
Proposed Wastewater System Type: Pg a e'S ea.S
° ° a- u ns ow S,,5Projected Daily Flow: 'A -S GPD
Number of bedrooms: " Number of Occupants: B max
Basement ❑Yes 'CkNo
Pump Required. Ves ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 15( Public ❑ Well Distance from well feet Permit valid for. Isl0ve years
Permit conditions: ❑ No expiration
Authorized State Agent: :i '� Date: " )Sol) $ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guamnte 'suance of other permits 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 npmvement 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 constriction and installation requirements of Rules JIM, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit ad shall be met Systems shall be installed in accordance
with the atmched system layout
ISSUED TO: *r G+ssorr\ 1-Ndmr-_s PROPERTY LOCATION: g8sautIIP LN.
SUBDIVISION SVM e.nFRLI ns LOT # 36
Facility Type: SyQ (SO o� IC New ❑ Expansion ❑ Repair
Basement? ❑ Yes '&L No Basement Fixtures?
t� 13 Yes No
Type of Wastewater System** p u tele 710 exs `y g 6D Uas t D N %STE n (Initial) Wastewater Flow: 4`(O GPD
(See note below, if applicable ❑)
Pta
Installation Requirements/Conditions
Septic Tank Size s o 0 o gallons
Pump Tank Size % 000 gallons
Pump Requirements: ft TON vs. _
Conditions:
`Ta 71�7e QfA.S7S• (Repair)
Number of trenches 1
Exact length of each trench ti 0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. M inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
GPM
Trench Spacing: `l Feet on Center
Soil (over: 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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, / mndeatand the system type rpeeiled is different /rim the type spec/led on the app/iratioa. / accept the J cihcationr of this permit.
vmmrateg telDmauve ztgnamre: Date:
This Construction Authorization is to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be tmnsfered when there i
Construction Authudzate,bject to in ' rovisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this Dermit
Authorized State Agent: g- Date: Li
struction Authorization Expiration Date:
SEE ATTACHED SITE SKETCH
HTE# S't (,
Permit # 1c) (3y CJ
Harnett County Department of Miblic Health
Site Sketch
PROPERTY LOCATON: e�- G(-tU'fiFvL LN
ISSUED TO: �n Gc s�o, r Oils sa � �aoc..Es SUBDIVISION _ Sv m rM"Q 4 LOT # %
Authorized State A¢en� �&r5 �wa Tocvt 9 a(iF� Date: til3 O
W3
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1
3S� �
ECkU11FvL '—N
10-1-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: .A Date Evaluated:
Proposed Facility: X18013 "! Design Flow (.1949): L40 SQ Property Size:
Location of Site: Property Recorded:
Water Supply: I@ Public❑ Individual ❑ Well ❑ Spring
Evaluation Method:M Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: N Sewage ❑ Industrial Process ❑ 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
15
(}
Q'4`d
Q
Ift Mj'N9
S
3
0-Lf6
0.7
i
Description Initial R air System Other Factors (.1946):
S ste Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Type(s) 9 r�o xs o G 60 Others Present:
Site LTAR .1 r_4