IPACHTE#"5-I il+C6� Harnett County Department of Public Health 30114
Improvement Permit
A building permit cannot be issued with only an Improvement Permit p
p^� PROPERTY LOCATION: W1a_L 1—V000 Xi
ISSUED TO: PlTl,Ar4ltL (:�ufclCsvGisonJ SUBDIVISION SwF-fiwA176a_ LOT#
NEW,9� REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SrCD C: -!;;0x5 d
Proposed Wastewater System Type: 86' b RGoVOStow S7rEM
Projected Daily Flow: LNKZ0 GPD
Number of bedrooms: lit Number of Occupants: max
Basement []Yes '§< No
Pump Required: Dyes ❑ 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. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: � RLg7 Date: 6 )S I lyS SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t e ce 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 Imp emem 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 .1950, .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 T0: —N-4 L-V',r4-'y L coN-5-'CyjciS v3 PROPERTY LOCATION: WILL LvGAS CD
SUBDIVISION Sw6C—ZWDifIz, LOT # n..6
Facility Type: 650 " New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 20:;�% 9EDvc=�S t o k QYssti,. (Initial) Wastewater Flow: 480 GPD
(See note below, if applicable ❑)
?v^'R-7a w-, 0/0 94Z. SSS. (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size t O tJ a gallons E t l h f h h 5�
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
xac engt o eac trent
feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: a'43b inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: q Feet on Center
Soil Cover. Ia.-ZH inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type spealed is different tom the type specified on the application. / accept the ssiecilcalo/ls o/ this permit
Owner/Legal Represeri Signature: Date:
This Construction Authorization is subject cation 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
Concoction Authorization is o Calanate[,i ns of the laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �li Date: 6
Con coon Authorization Expiration Date:
HTE# 116-5-4-Le1
Permit # 3a\
Harnett County Department of Public Health
Site sketch
PROPERTY LOCATON: W,L�, Lv04j P10
ISSUED T0: / SUBDIVISION S\wC6-twa;E2 LOT # a0
Authorized State Agent Q(nrblAt-t L-pLKS,DoC2fc 1 Date: 6
WA,
I '
i
t�6 0 i�3y'
HDu6E
5 L. XSO.
1X
36.
5'c .
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: O
Proposed Facility: )h. q�D2 � Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual E]Well
Evaluation Method:r,Auger oring ❑ Pit ❑ Cut
Type of Wastewater: "E] 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.)
.1956
Sapro
Class
.1944
Restr
Honz
F�
LQ4
ijY U-.
V=n 55)t4q
�1�.x ,.7�
L14
G �)
"q1
0-
Description Initial Re it System Other Factors (.1946):
Systeio Site Classification (.1948): Q
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR