IPACHTE# 16-5'37as`1 Harnett County Department of Public Health 28605
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
r PROPERTY LOCATION: get �v S sserlAs
ISSUED TO: 7Z E N aJ sF G2 Go � agecG SUBDIVISION LOT #
NEW'W REPAIR ❑ EXPANSION [IType of Structure: S�fl C`�6 ri33
Proposed Wastewater System Type: 'aSVor \, G -S 10 4 5tE n
Projected Daily Flow: 3t;,p GPD
Number of bedrooms: a Number of Occupants: 6 max
Basement ❑Yes X No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Dyes )<No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well I feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: --am-4SEE ATTACHED SITE SKETCH
The iguana of this permit by the Health Department in no way guarantees the is a of other permits. The permit holder is r onsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocation if the site plan, Alar, or the intended use changes. The Impro emeot Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the pmyisiom of
the laws and Rules for Sewage Treatment and Disposal and to condition of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .19S2, .1954, .1955, .1956, .1951, .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 TO: 56aac4sC:EcL Go LO e," PROPERTY LOCATION: &Asx6y hlocnAs
SUBDIVISION LOT #
Facility Type: SF9 �s6K33� New ❑ Expansion ❑ Repair
Basement? ❑ Yes "3K No Basement Fixtures? ❑ Yes
Type of Wastewater System** Q.Vlo QEDVe,e i ai (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑) _
R)_c'�P 1 ° =V' 9XA�t. (Repair)
Installation Requirements/Conditions Number of trenches 1-1
Septic Tank Size l to d gallons Exact length of each trench Zs feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. \'�Z inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: M. TDM vs. GPM
Conditions:
Trench Spacing: 1 Feet on Center
Soil Cover. 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 ryrtem type rpec led it different from the type rpeaed on the application. / accept the specilinatiom of this permit.
Date:
This Construction Authorization is subject torevo ' the site plan, plat or the intended use changes. The Construction Authorization shall trot be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance witlnke pro'" the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: R s y
Cons 'on Authorization Expiration Date:
HTE# \ 5- 5
Permit # D-�U6S-
Harnett County Department of lNiblic Health
Site Sketch
PROPERTY LO(ATON: 1-.&J 1>>OmkLs pyo
ISSUED TO: SEK C� u Lc�S�4 C� SUBDIVISION LOT #
Authorized State Agent: a5 of w YuL90 Date: 15
1 I SC,
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: Design Flow (.1949):3
Location of Site: Property Recorded:
Water Supply: �ublic❑ Individual ❑ Well
Evaluation Method:0uger Boring ❑Pit ❑cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
Cl 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
Consistence
Mineralo
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
vFrh �s�P
ll 9Q 7 k
3
p�3
cr l
G LS
vFn
I(1
,3
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948): @i
Available S ace (.1945)K Evaluated By: O
System T e(s � LSU.) P Y(r Others Present:
Site LTAR •3