IPACHTE# f�3'5-413117 Harnett County Department of Public Health 30124
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L6aFLa-i G -iv U to
ISSUED T0: g 20o Cu cn n �N G S SUBDIVISION LOT #
NEW-' REPAIR ❑-YPANSION ❑
Type of Structure: S7'0 ('7f x t- 6
Proposed Wastewater System Type: -MV/6%keezu0.'Ss o,, Sye;E.^
Projected Daily Flow: '-*L0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement []Yes ;K No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes �R No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community � Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Five years
❑ No expiration
Authorized State Agent:: ��� \\ '— Date: C 117 I I'd SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc 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 Improvement 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 construction and installation requirements of Rules .1950, .1952, .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: goo GVew+M1, 114 GS PROPERTY LOCATION: L%Ia,,F _r. G� vrtw
SUBDIVISION — LOT # 3
Facility Type: SE -O C-7�6 "S61� New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" vo RGovCA t o -1 SvssGyr (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
P'SD. —,PY5 . (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size too d gallons Exact length of each trench S feet Trench Spacing: `i Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. C inches
Maximum Trench Depth of: T8 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
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.
**If applicable: / ondemand the system type specified iJ different fmm the type specified on the app/icatioa / accept the specificatons of this perxit.
Owner/Legal Representative Signature: Date:
This Construction A is subject m revocation 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
Construction Authorization is subject to a ambye provisions 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: _
onstruction Authorization Expiration Date:
HTE# M- S -L11-1 l 1-1 Permit # 101
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: L_Eae t� C+v tc+� 2b
ISSUED T0: $ �CV Mm N �S SUBDIVISION LOT # 3
Authorized State Agent: �� VIc�S�puv� iaJ�"_ pOU Date: G X3111 N
LC-P,F L -r-1 GN VCLL:H IZO
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. Design Design Flow(. 1949): 3 b8SP)
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:Auger Boring ElPit El cut
Type of Wastewater: '11; 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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
)
L5
_1
19'z GL
ss) -:5f
�5�t
s
0-1i
(Z
W3b
FR s)5�
P53
Description Initial Repair System Other Factors (.1946):
S st Site Classification (.1948): ±
Available Space (.1945) Evaluated By: dl
System Type(s) "Iv Others Present:
Site LTAR , 1t Ii