IPACNTE# 15-5=370—) 0 Harnett County Department of Public Health 28547
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
n PROPERTY LOCATION:
ISSUED TO: -04 gV' St OP+vJ SUBDIVISION — LOT #
NEW REPAIR ❑ EXPION ❑
Type of Structure:
Proposed Wastewater Systgm Type: �-S�l a vCI. a�N Y 5vGi .
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes Xlo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ''tfo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well I CA feet Permit valid for. Aive years
Permit conditions.— ❑ No expiration
Authorized State Agent:: � � Date: a0t 11315 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t other permits. The permit holder is responsir chttking with appropriate governing bodies in meeting their requiremmtx This
site is subject to revocation if the site plan, plat, or the intended use changes. The Imp owns 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 Rues .1950, .1953, .1954, .1955, .1956, .1957, .1958. and .1959 an incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: PROPERTY LOCATION: Y�vc!k' cG to L
SUBDIVISION LOT # a
Facility Type: Gc\� Ley x53 X New ❑ Expansion ❑ Repair
Basement? ❑ Yes �X No Basement Fixtures? ❑ Yes JZNo
Type of Wastewater System** S°�° 9'zo VGs a 0r,4 S%ss6.M (Initial)
(See note below, if applicable ❑) o
Q.� /d QED a c.: s w (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size y t!D e gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 7 S' feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Wastewater Flow: 3G.o GPD
Trench Spacing: Feet on Center
Soil Cover. G^la-- 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 rystem type ipeciGed it different from the type specified on the apph?arion. / accept the specif ations of this permit
we
Date:
not
Construction Authorization il, s ea to compliaoLo�Lhhe�ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
Authorized State Agent: -!!!!� ��� '2k - Date:
Authorization Expiration Date:
SEE ATTACHED SITE SKETCH
NTE# 5 rj-3n0--7e) Permit # "45y%
Harnett County Department of I'ublic Health
Site Sketch
PROPERTY LOCATON: G)LL , 1 ALL i
ISSUED TO: �e'� S �^t SUBDIVISION — LOT #
Authorized State Agent:
Date:,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility, Q DZ^ Design Flow(.1949):7V5 M�
Location of Site:11� Property Recorded:
Water Supply: - Irxublic❑ Ind'vidual ❑ Well
Evaluation Method: [I Auger BoringPit ❑ Cut
Type of Wastewater: 11 Sewage ndustrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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/
Cot"
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Honz
VL V6
2
'♦'�" -Il
Ci S �
rvrj��J
G dLW
\Ik\Aiv(
C
PS
Description Initial Rep it System Other Factors (.1946):
S ;i
Site Classification (.1948):0.5
Available S ace (.1945) Evaluated By:o�
S stem T e(s) % Others Present:
Site LTAR •7h �`"+