IPACHTE# f3 -5- Lls-II to Harnett County Department of Public Health 30134
Improvement Permit
A building permit cannot be issued with only anllinprovement Permit
PROPERTY LOCATION: v s va660 `o
ISSUED T0: �EA Qooc1 1Vt�+69 SUBDIVISION Irl As.,4 c2,0146 LOT #1111
NEW REPAIR ❑ �EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: STZLMS;4Lii)
Proposed Wastewater System Type: a40e T�6pu�a o N SErn
Projected Daily Flow: Lt%O GPD
Number of bedrooms: t -'a Number of Occupants: —% Max
Basement Dyes No
Pump Required: Dyes ilk No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community XPublic ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: 1 ` ❑ No expiration
Authorized State Agent:: �` Date: C. -2112 (14 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss other pertain. The permit holder for checking with ith appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the intended use changes. The hnpravem or 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 T0: PCo fleov.- NOMe5 PROPERTY LOCATION: voo
SUBDIVISION \Jt:a,yV L LOT # \Li—
Facility Type: SMUJS"Las New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a S ��b nGo vG5 t ow S Y3s 6+a. (Initial) Wastewater Flow: LAV) GPD
(See note below, if applicable ❑)
Trench Spacing: Of Feet on Center
Soil Cover. 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
�aa1, Aggregate Depth:
Conditions: T IINImUM of G oG coy62L-60ED G-4 W_ Do,AlN FlE
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 l undeatand the r}rMm type rpedled is different from the type rpedled on the app/iradon. / accept the rpecih'rationc of this permit,
Date:
This construction Authorize' b' a m revocation if the site plan, plat. or the intended use changer The Constmttion Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is 2tt.to sump m t visions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent caw Date: 6 a7
struction Authorization Expiration Date: 9
wig
0P VC, S oI j -J /s . (Repair)
Installation Requirements/Conditions
Number of trenches f
Septic Tank Size 10 15 o
gallons
Exact length of each trench 3D b feet
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 1-�' inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements:
ft. TDH vs.
GPM Sz
Trench Spacing: Of Feet on Center
Soil Cover. 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
�aa1, Aggregate Depth:
Conditions: T IINImUM of G oG coy62L-60ED G-4 W_ Do,AlN FlE
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 l undeatand the r}rMm type rpedled is different from the type rpedled on the app/iradon. / accept the rpecih'rationc of this permit,
Date:
This construction Authorize' b' a m revocation if the site plan, plat. or the intended use changer The Constmttion Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is 2tt.to sump m t visions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent caw Date: 6 a7
struction Authorization Expiration Date: 9
HTE# I$' S-24'1 )i6 Permit # �60 134
Harnett County Department of Miblic Health
Site Sketcli
Rt
LO(ATON: W wC�f.P'FOO\
ISSUED TO: 'OO2e �OmE3 SUBDIVISION '.JpuwFy6 LOT # Y 1
ec � e
Authorized State Agen`\\et �5 191 w� o vY S�o� Date: L 2�
Al. S ,b' EFxN 'F1-AC6Eo
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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: t�,g®ci,.t1 Design Flow (1949):'x0 Se)
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method' Auger BZhing ❑ Pit ❑ Cut
Type of Wastewater: V 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
Horiz
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Description Initial Repair System Other Factors (.1946):
S st(;n Site Classification (.1948):'F�
Available Space (.1945) Evaluated By:
System Type(s) y5 o Others Present:
Site LTAR