IPACHTE# t 5'5-"me3So'\ Harnett County Department of Public Health 28530
Improvement Permit
It1,p6�P/1.e�: building permit cannot be issued with only an 1!Emvement Permit
""111 5 , ,Qo PROPERTY LOCATION: L
ISSUED TO: S^C Laso �°+N E1-- SUBDIVISION LOT #
NEW >( REPAIR ❑ EXPANSIOt❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sc, eo s_ (,S 000Q
Proposed Wastewater System T pe: Pu mP-7 d �S o w fa�U(iTsOPI
Projected Daily Flow: `SL GPD STVD Cv?tii
Number of bedrooms: Number of L66Hpaetse c:N (o max
Basement ❑Yes No
Pump Required: ❑Yes F-1 No May be required hazed on final location and elevations of facilities„y
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 00 het Permit valid for. Five years
Permit conditions: \ ❑ No expiration
Authorized State Agent: �bk.7+ Date: —A $ 1S SEE ATTACHED SHE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iuua ther permits. The permit holder is responsib a far cheding with appropriate governing bodies in meeting [heir requiremenLL This
site is subject to revocation if the site plan, plat or the intended use changes. The Improveme rmit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the law: and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permjtt
The construction and installation requirements of Rules .1950, .1953, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in acordana
with the attached system layout
ISSUED TO: sosa 09I"J-1 PROPERTY LOCATION:�N0e,F- 7 PSD
SUBDIVISION LOT # S
Facility Type: So,,00t �SppoS�j� New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No q
Type of Wastewater System"" P01n%?'T o �C'/o }2EfluG:10N S �a Gra (Initial) Wastewater Flow: 160 GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions
Septic Tank Size s 1 0 C) gallons m a z e
Pump Tank Size ao O gallons n a N
Pump Requirements: ft. TDR vs.
Conditions:
(Repair)
Number of trenches
Exact length of each trench 135 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: T% -''-5k inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Trench Spacin : I feet on Center
Soil Cover. 'oT—) 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: / ondemand the spmem type rpeciled it different from the type rpedled on the app/iration. / accept the rpedltadonr of t& permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is suejecrtrievawtioll if the site plauplat 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 subiecttb.Lom-liana w,a-*-row t*Wbws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:Date:
Date:
HTE# 1 5-36So`i Permit # a�53 0
Harnett County Department of Public Health
� -Ee Zn iN� � Site Sketch
On SSte✓� PROPERTY LOCATON: 1NG�N 1D
ISSUED TO: �pgN-N TE�L. SUBDIVISION LOT #
Authorized State Agent:
N/
Date: -1� -2 S
QUiz_0%t4
(Lf3p"i2 pp,LN 1
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: �E 5Tb r_ii Design Flow (.1949): y�
Location of Site: Property Recorded:
Water Supply: blic❑ Individual [I Well y
Evaluation Method: Auger or g E] pit El Cut
Type of Wastewater --EkSewage ❑ 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.1942
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
Profile
Class
& LTAR
.19411=.19,41,..
Structu
Textu
Soil
Wetness/
Color
.1943
soil
Depth IN.
.1956
Sapm
Class
.1944
Restr
Horiz
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pp
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Description Initial Repair System Other Factors (.1946):
Systeyn Site Classification (.1948):!; f
Available Space(. 1945) Evaluated By:
System Type(s) Others Present:
Site LTAR