IPACHTE# n-5-4,-+aa0i Harnett County Department of Public Health 30137
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
`\ PROPERTY LOCATION: gC:110
ISSUED T0: PE GG / t 1,3 %D SUBDIVISION LOT # 3
NEW REPAIR ❑ �J(PANSION ❑.
Type of Structure: F" 1 AN N 6^=—
Proposed Wastewater System Type: 7 5/o T�Eoucsre rr Syes� n
Projected Daily flow: L4%t) GPD
Number of bedrooms: Vs Number of Occupants: 8 max
Basement ❑Yes No
Pump Required: ❑Yes 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:
Site Improvements required prior to Construction Authorization Issuance:
Permit valid for.
Five years
❑ No expiration
Authorized State Agent: Date: h2� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Depanmellls no way g""an ea5,bg issuance of other permits. The permit holder is responsible for!h ing with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisiom 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, .1953, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met Systems shall be installed in accordance
with the attached system layout
ISSUED T0: 0SGG7C N KmocA -c PROPERTY LOCATION: UC'
l SUBDIVISION LOT # 3
Facility Type: M%m SACIM-1-- 1�e' New ❑ Expansion ❑ Repair
Basement? ❑ Yes �X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" a5% a Sy51EM (Initial) Wastewater Flow: LM GPD
(See note below, if applicable ❑) y-�
a.� °1 a ryL ) . -Z) Y S , (Repair)
Installation Requirements/Condifions Number of trenches 3
Septic Tank Size s a r>0 gallons Exact length of each trench 80 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1%-a'M inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: 'I Feet on Center
Soil Cover. 6' 12 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 LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"If applicable: / understand the system type specibed /J different /rem the type speciled on the application. / accept the rpecificati ms o/ this permit
Signature:
Date:
This Construction An ora to revocation if the site plan, plat or the intended use changes. The construction Authorintion shall not be transferred when there is a change in ownership of the site. This
construction Authorization is s to complia visions of the Laws and Rules for Sewage Treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: RbT15 Date: G I -db'
aOstruction Authorization Expiration Date: 5 k%
HTE# )q4'S—I'1L1�°Y
Harnett County
ISSUED TO:
Authorized State Agent:
Permit # 3013-)
Department of Public Health
Site Sketch
PROPERTY LOCATON: G � A
SUBDIVISION LOT # 3
SOLYSOOQP�Date:
M
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: L, GCX2 Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Meth o Auer Boring El 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
(111
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
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Description Initial Rair System Other Factors (.1946):
Syston 7 Site Classification (1948): PS
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR