IPACHTE# ID'S LIz-TOSt-1 Harnett County Department of Public Health 30123
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: Yl ta-L 1(4ISSU1' TQ: �6i�N Gryos3 SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ';9 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Gy -c. T") a 62wt r, Gtna..P
Proposed Wastewater System Type: 9-C '.t3OVcl,1 na.a SY9 10M
Projected Daily Flow: \t y p GPD
Number of bedrooms: Number of Occupants: 1 cil as
Basement []Yes No
Pump Required: ❑Yes I No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public V Well Distance from well 100 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: -*y Date: 6J13)YK SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees e n 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 change, The Impr emem Permit shall not be affected by a change in ownership of the site. This permit is subject on 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 .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: `SOa+N G,OS3 PROPERTY LOCATION: COX Mli.a, 90
SUBDIVISION LOT # _
Facility Type: 520.7 • Y� v GtDS9us C.' b—1 1K New X Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** mgsl- RGpv,Cs-1 s o N Sy5'SCat- (Initial) Wastewater Flow: I t>{ d GPD
(See note below, if applicable ❑)
%S ml o Qm.
515- U vrw•r/ (Repair)
Installation Requirements/Conditions
Number of trenches 5
Septic Tank Size 9000 gallons
Exact length of each trench t 00 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of V%*-- '1 inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDM vs.
GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: (;- t1 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: / understand the rynem type rpedled it different from the type rpeciled on the app/iration. / accept the rperilrationc of this permit.
Date:
This Construction Authorization is s 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.�ssLLbess to compnwqka ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: T'6+ sS Date: S3 y
ATruction Authorization Expiration Date: ti h3
HTE# «-S-uL',05U
Permit # 3o�a3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Cox C`\1LL
ISSUED TO: —SoH� cusspp SUBDIVISION LOT #
Authorized State Agent REHs GL1 ,46Q- -rOLKS Date: 6 �3 I YI
coy rn I LL
Deparnnent 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: Mt6Q.A�S Date Evaluated: \
Proposed Facility: 15 Design Flow (.1949): �-lu0s
Location of Site: Property Recorded -
Water Supply: ❑ Public❑ Individual Well
Evaluation Method'. Auger Boring ❑ Pit ❑ Cut
Type of Wastewater:/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
1
r5
G•s3`f
is SL
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-S 1 S
V5
Q tN
G SL
VG(1 „5�4?
tia�
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55)�►P
PS
3a -µc
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S .6
Description
Initial
Repair System
Other Factors (.1946):
System
Site Classification (.1948): P�
Available Space (.1945)Evaluated
iV,Others
By<51;�
Sys em Type(s)
'dS c
Present: —�
Site LTAR
. 5
-S 1 S