IPACHTE# Harnett County Department of Public Health 29010
Improvement Permit
A building permit cannot be issued with only an Impprovement Permit
Y� PROPERTY LOCATION: S ZIA V, R 4PLT N 6 RP
ISSUED T0: �n�ssoQhi60. 4% `� s aSOsyO�NSUBDIVISION — LOT # 42
NEW REPAIR EXP N ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF9
Proposed Wastewater System Type: as'f* REO V (Sts a+ l vS'
Projected Daily Flow: L{g 8 GPD
Number of bedrooms: 4 Number of Occupants: 4q� max
Basement ❑Yeso
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public E-1Well Distance from well _5C> feet Permit valid for. Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent:: :: \ Date: $135110 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t ce of other permim The permit holder is resilonsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the intended use changes. The Imp ent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .19S4, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
i
ISSUED TO:C"0.f`Kt:AQ-,AF1.L `o,4;,tj PROPERTY LOCATION:Sa`S K.PltwC,
SUBDIVISION — LOT # 4f—
Facility Type: �J Fpsg5 L J �) :� New ❑ Expansion ❑ Repair
Basement? ❑ Yes `$ No Basement Fixtures? ❑ Yes No
Type of Wastewater System*" aS'1> RGo V CSl 0 (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
a,s°!b REo. S,ts , 7aewni.,
Installation Requirements/Conditions
Septic Tank Size 1 COf7 gallons
Pump Tank Size gallons
Number of trenches S
Exact length of each trench 3 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of �'%" 32 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: �l Feet on Center
Soil Cover. 6 - aO inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
"If applicable: / understand the system type spec&eor is diNeteat from the type spec&ed on the app/radon. / accept the speciation of this permit
Date:
This construction Authorization is subject to revocation i to plan, plat 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 441§g� to romplianc the pro the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: -asJ� 2�\-\ R(i%5 Date: 813
Authorization Expiration Date:
HTE# b�v'S 377 1��5 Permit # X1010
Harnett County Department of Public Health
Site Sketeb
PROPERTYLOCATON: WLNA
ISSUED TO:C-�(L `.CSL L L Lso NR( --N SUBDIVISION LOT # Ll
Authorized State Agent: L-)'4 6,L- ic7LttXX9(� Date:
M
Ek is—,Its G
K)QL)tJ ( i2-0
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 1-y¢OQ%r Design Flow (.I949)�V 0 `fie O
Location of Site: Property Recorded:
Water Supply: Public[:] Individual E]Well
Evaluation Method Ager Boring ❑ 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.)
SOH. MORPHOLOGY
.1941PROFILE
OTHER
FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Resn
Horiz
)
LS
Cj.Z
3Z
G SL
V(=(L .�
2
�J
G 5 L
V rte` NS I'tC�
V(13i
�
P5
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Q3
Available Space(. 1945) Evaluated By: ,C
System Type(s) as-% Others Present:
Site LTAR .3-1 '6-
D