IPACHTE# s�,3—n� Harnett County Department of Public Health 30042
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
n PROPERTY LOCATION: eC Py11 TF UJ L
Pam,
ISSUED T0: rL6G`fj\O N (�uSSa(n ��cAo1E 5 SUBDIVISION Svr rn �t\iJ LOT # 0Ti
Typpee oaf
N REPAIR ElPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
( Structure: S5� (�� ^SO J
Proposed Wastewater System Type: Qv+ ;;--'So "as"la ljkEouG(W" S-)5.
Projected Daily Flow: L'a`d O GPD
Number of bedrooms: a-'1 Number of Occupants: max
Basement ❑Yes Xio
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. years
Permit conditions: ❑ No expiration
Authorized State Agent:: QIFZ-1S Date: '113 0 ) )1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guava t nuance 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. provement 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 BuildinngPermitt
The construction and installation requirements of Rules .1958, .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: Qct -t- C. -N5 )cr,[.vStoM)-kom&5 PROPERTY LOCATION: gwruINFytr LN
SUBDIVISION SuMrr,ei.t_Try LOT # a,y
Facility Type: SFOC� xSCS� New ❑ Expansion ❑ Repair
Basement? ❑ Yes )< No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Pu r'+ P \ o Q.SY, 'sk Co u cy's R o 5 c Em (Initial) Wastewater Flow: Lj4 0 GPD
(See note below, if applicable ❑) P(�
Rd m -To a$`e %C.D. Sys (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size L do o gallons
Pump Tank Size Loo 0 gallons
Exact length of each trench '�a0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of vq inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: (t. TDH vs. GPM
Conditions:
Trench Spacing: q Feet on Center
Soil Cover: C 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: / understand the ry tem type spelled it different from the type spealed on the app/kation. / accept the specilcations of this permit
Owner/Legal Reprejentative Signature: Date:
This construction Authorization issu o revocation if the site plan, plat or the intended use changes. The Construction Authamation shall not be transferred when there is a change in ownership of the site. This
Construction Authorization i to compli visions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: UA5 Date: y
onstruction Authorization Expiration Date:
NTE# Y% -5''-"3-'-11-1 Permit # ;I00 --ice
Harnett County Department of Y`nblic Health
Site ,'ketch
PROPERTY LOLATON:
ISSUED T0: Q n 6 G �S o n CU S 0c HV ME SUBDIVISION S v m n F_ Zl 1 j LOT # d1 j
Authorized State Agent: RG)a5 <,�Ca--�0uXs0o(5 Date: `l,30�1�
t46,
HOosE
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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: N 9514 -Irl Design Flow (.1949): 4Vb
Location of Site: Property Recorded:
Water Supply: Public[-] Individual ❑ Well
Evaluation Method7:K Augq Boring ❑ Pit ❑ Cut
Type of Wastewater: �J 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
LS
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):5
Available Space (.1945) Evaluated By:,,,T
S stem Type(s) Others Present: 1
Site LTAR s -b