IPAC (2)HTE# iS-5-Lt3S-.;9, Harnett County Department of Public Health 30025
Improvement Permit
A building permit cannot be issued with only an I,m,pprovement Permit
PROPERTY LOCATION: Ms, FRnv Qfl
ISSUED TO: r4 \-s G SUBDIVISION LOT # _ i
NEW V REPAIR I
❑ EXSION ❑
Type of Structure: S •r0 �SS�^ 6 \
Proposed Wastewater System Type: SS°/6P'sEDa"IisN i,5
Projected Daily flow: LT%Q GPD
Number of bedrooms: 4 Number of Occupants: $ max
Basement ❑Yes No
Pump Required: ❑Yes 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:
Site Improvements required prior to Construction Authorization Issuance:
Permit valid for. five years
❑ No expiration
Authorized State Agent:: R�liS Date: 31291 )1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees issuance of other permit. The permit holder is responsible far 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 provision of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permn
The comnaion and installation requirements of Rules .1958, .1951, .1954, .1955, .1956, AST, .1958. and .1959 are incorporated by references inn this permit and shall be met Systems shall be installed is accordance
with the attached system layout
ISSUED TO: 1—YoN (�vaLO6Q$ 1rvL PROPERTY LOCATION: Cs (LI 5:7NN
S vo (,S5,A SUBDIVISION
Facility Type: �� � New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ o
Type of Wastewater System** ds'!• 1R6DiCsS1 0r a �Y5 � Ern (Initial)
(See note below, if applicable ❑)
9S-Za X60 . SYS . (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size o o gallons Exact length of each trench 3 00 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: IN inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
LOT # 4
Wastewater Flow: yA a GPD
Trench Spacing: i Feet on Center
Soil Cover. 6 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 ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / orrderrtand the spem type rpeciled is different from the Verpeciled on the applicadon. / accept the rpecilcadonr o/this permit
Date:
This construction Authorization is subject to revocation it 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 mbjKt to comp o_ the.pLvisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3 Z9
Cons ction Authorization Expiration Date: 3
L
H T E # ' S- �35a� Permit # 100 --
Permit
Harnett County Depailinent of Public Health
Site Sketch
\ PROPERTY LOCATON: G2%IF MyZ
ISSUED T0: —�1 �V \Lp `N L SUBDIVISION LOT # '—
Authorized State Agent AS\�6Q- cIXSD O9j)F Date: 3`5�1$
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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: 1,N c5o Lv. Design Flow (.1949): LNV
Location of Site: Property Recorded:
Water Supply: faPublicEl Individual ❑ Well
Evaluation Method Aug r Boring ❑ Pit ❑ Cut
Type of Wastewater: 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
Minemlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.
.1956
Sapro
Class
.1944
Rear
Horiz
LS
1—S
Vv'a r,p)v0
Y. C
Fry ss%sp
i 0-tR.'7l3� t
LN
C
I-'-36
!�B K G
F2 54-)R
0-21tt,
Description Initial Repair System Other Factors (.1946):
S st m Site Classification (.1948):R5
Available Space (.1945) V Evaluated By: CYC
System Te(s) S QW Others Present:
Site LTAR . u% . LAt