IPACHTE# I�"53°1 N� ) Harnett County Department of Public Health 29037
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: GJ erect -
ISSUED TO: �'�-G nn H G SUBDIVISION a va �T- a_pt LOT #
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5
Proposed Wastewater System Type: 1S'/e iL� V L;a Doti 9y5sG
Projected Daily Flow: Li -to GPD
Number of bedrooms 4 Number of occupants: g max
Basement ❑Yes --'EfNo
Pump Required: ❑Yes ❑ No >1 May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 1K Public ❑ Well Distance from well T b0 feet
Permit conditions:
Permit valid for. 114<iyears
❑ No expiration
Authorized State Agent: Date: 101 sl11 L SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the " sterol other permia The permit holder Sref! 1�po11=ible 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 Improve nt Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws and Rules for Sewage Treatment and Disposal and to m inions of this permit.
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 accordane
with the attached system layout
ISSUED T0: —R& C, 'i" le' f✓ PROPERTY LOCATION: Sc s EIL C�
S�OC� x� SUBDIVISION Qv a�L G>_cr LOT #
Facility Type: �� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basemlent Fixtures? ❑ Yes E� No
Type of Wastewater System** a�L d JZEDvC) t- .r 6,c's (Initial) Wastewater Flow: ANO GPD
(See note below, if applicable _
�ury e ) o ��,a (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size 10 O d gallons
Exact length of each trencha-7(�) feet
Pump Tank Size t O O V gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 3a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: f. TDH vs.
GPM
Conditions:
Trench Spacing: I Feet on Center
Soil Cover: 210 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFL FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"If applicable: / understand the sysiem type specified is different from the type stledled on the application. / accept the specifnations of this permit
Date:
This construction Authorization is subject lion if the�site''plan, plat or the intended use changes. The construction Authorization shall not be transferred when there u a change in ownership of the site. This
Construction Authorinthon-u.zstbiect m mmoli:3a if r�nluns of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: v VZ -146 Date: S b
Cans tion Authorization Expiration Date: 1 O S
NTE# 1� "S 39—IZ-1I Permit # a °103-1
Harnett County Departmernt of 1'nblic Health
Site Sketch
PROPERTY LOCATON: SG C C.7 .
ISSUED TO: (tc,65 1NG SUBDIVISION \ LOT #
Authorized State Agent: _ ��t U 101 �� Date: No 13I 1 6
Nv -T 0 ,t o Q r
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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: l> gVQ_> Design Flow (.1949): IAO, 1
Location of Site: Property Recorded:
Water Supply: ,Public❑ Individual ❑ Well
Evaluation Metho� A�iga Bong ❑ Pit ❑ Cut
Type of Wastewater: ' Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position
Slope %
Horizon
Depth
(In.)
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure!
Texture
.1941
Consistence
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapm
Class
.1944
Restr
Horiz
o�
-ate
:5
ow
G s L
vFn Ns v�
Other Factors (. ] 946):
Site Classification (.1948):
Evaluated By:
Others Present:
LTAR ." 3 - 1, y
-1(5 Wv :fox Vr
T6 oC n c L6rEi -.T� C'�+-OvNo 1FPv SN1 Ui S