IPAC RHTE# OH- 5 -ZoFj3 Q- Harnett County Department of Public Health 29290
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:'S6Hf -6n Co.nk� L; K
ISSUED TO: S L–c na 1 Gy i8e e5 Snc . SUBDIVISION LOT # 3
NEW 5( REPAIR ❑ EXPANSION ❑
Type of Structure: 'I (S R. SF O
Proposed Wastewater System Tpppe: 25% 0"td 'h'un S0 54� A
Projected Daily Flow: 3f.6 GPD
Number of bedrooms: 'i Number of Occupants: 6 max
Basement ❑Yes Gallo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes ❑ No Qt be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community V Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
NKive years
❑ No expiration
Authorized State Agersll� SEE ATTACHED SITE SKETCH
The issuance of this permit by I� Hedlth Department in no way guarantees the issuance of other permits. The permit holder is responsible for c ecking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it t rte plan, plat, or the intended use changes. The Improvement 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 .1958, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: S-( t. C s PROPERTY LOCATION: GoyA Lj ,'m 0 — StL S$ /
SUBDIVISION LOT # 3
Facility Type: 3 Q tL 5 r D New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" ZS% aL.Avt_-4 Gra S. s 4e4v\ (Initial) Wastewater Flow: 36Q GPD
(See note below, if applicable ❑)
.% —Av if 1G,n (Repair)
Installation Requirements/Conditions Number of trent es 3
Septic Tank Size I o0o gallons Exact length of each trench f o feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ZG inches
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover. 14L 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
�j inches above pipe
I Z inches total
**If applicable: / understand the rystem type speciled is different from the type speciled on the application. / accept the rpedlcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the sice. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized S to Agenr C /vl•v� a.3 Date: 7
onstruction Authorization Expiration Date: of — Z Z
HTE# 48 - S - 20'F 33 2 Permit # 2925% 6
Harnett County Department of Public Health
Site Sketch
/� PROPERTY LO(ATON: dbp5irn Cn.mC
+� �c Rd C Sa ISSN
ISSUED TO: 5LW Ci 1 av;Idjs .Snr SUBDIVISION LOT # 3
Authorized State AM,4 L /� ( � Date: % `t _ 7
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOLUSITE EVALUATION
for ONSITE WASTEWATER SYSTEM
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Owner:Leg, j•. Applicant:
Address:to ;r,4 Date Evaluated: t1zoi
Proposed Facility: 5 r Q Design Flow (.1949):
Location of Site: - Property Recorded: �1/1�i
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method:[ -' ugu Bmi g ❑ Pit ❑ Cut
Type of Wastewater. Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property SIZe: 6 / G r1( .
❑ 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
Structurw
Texture
.1941
Consistence
Mmendogy
.1942
Soil
Wetness/
Color
.1943
Soil
.1956
Sapm
Class
.1944
Rcstr
Horiz
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Description Initial Repair System Other Factors (.1946):
System Site Classification(. 1948):
Available Space (.1945) Evaluated B.
System Ts 'l OthersPresentYA'lc�•�.S G
Site LTAR I G , y ,