IPACHTE# IS -'S =31103 Harnett County Department of Public Health 28541
� S -s-3-7104 Imurovement Permit
A building permit cannot be issued with only an Improvement Permit�l�
_ PROPERTY LOCATION: Sv"t a Int_
ISSUED TO: L_U S KPhct.-Nt Zt c xc�2� 4 Y arQD SUBDIVISION M'Z rj-psc r'k, CS ; • LOT #
NEWle REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S6"D C•Ly- *x6U
Proposed Wastewater System Type: 3,570 CDV("e10N _T� n
Projected Daily Flow: 44QD GPD
Number of bedrooms: L } Number of Occupants: max
Basement ❑Yes
Pump Required: Dyes NO El May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community l Public ❑ Well Distance from well t feet Permit valid for. Five years
Permit condition ❑ No expiration
Authorized State Agent:: \�
The issuance of this permit by the Health Department in no way guarantees the is
site is subject in revocation if the site plan, plat or the intended use changes. The Impn
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date:
SEE ATTACHED SITE SKETCH
s. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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
L-�•
ISSUED TO: LUt tCp�dZ-PGr�oCLY `. 1 iiPROPERTY LOCATION: S �rvgQip�6 ¢,
/ SUBDIVISION M )& BPa,Nca* % • LOT # Pak
facility Type: 5 Ffl C�5 n� New ❑ Expansion ❑ Repair
Basement? ❑ Yes "S, No Basement Fixtures? ❑ Yes -'�kllo
Type of Wastewater System** va50f 0 QOUcf�L U N S 75iFrt� (Initial) Wastewater Flow: q?O GPD
(See note below, if applicable ❑)
"Io Q—.C-0. <�)IS . (Repair)
Installation Requirements/Conditions Number of trenches '7.
Septic Tank Size 1 OO d gallons Exact length of each trench —7 5" feet Trench Spadng: cli Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. -6 inches
Maximum Trench Depth of: S"za inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TDH vs. GPM
Aggregate Depth:
Conditions:
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: / mAdeatand the r)rtem type rpecifled it different from the type rpedifed on the app/ication. / accept the rpedlcanienr of thir permit.
Date:
This construction Authorization is subj ocatio 'f the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when diem is a change in ownership of the site. This
Construction Authorization 'ea to comp i wi " ions of the Caws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: °S S )S
ruction Authorization Expiration Date:
HTE# Y S s-31 S Oy
Harnett County Department
Site Sketch
ISSUED TO:
Authi
Permit # a•a5LI )
of IN-iblic Health
PROPERTY LOCATON: Sv " tL`flr�E �e-
SUBDIVISION Ml a6 • LOT #
DepaftmX t o �n ronment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: -- / Date Evaluated:
Proposed Facility: Design Flow (.1949)A -Poi -I
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: �4uger Bo 'ng ❑ 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
& LLTAR
.1941
Structure!
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
r.:?
G �`
G
�}" 1 ���
Ss�
Description Initial Repair System Other Factors (.1946):
Systent I Site Classification (.1948);f
Available Space(. 1945) \j Evaluated By:
System Type(s)) Others Present: �-
Site LTAR