IPACHTE# ) Harnett County Department of Public Health
Imarovement Permit 2 6 8 7 9
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: til s
ISSUED TO: ~vvy ~~o <~`ES l--Z-~. SUBDIVISION Y-r--~a-iat., ~PC2sty~ LOT # c
NEW REPAIR ❑ E ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Glz-<~> ~ 51~n 3
Proposed Wastewater System T e: s°l o gU ~o
Projected Daily Flow: L41 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Sup : ❑ Community '~K Public ❑ Well Distance from well t-O O feet Permit valid for: X Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent:: lr) Date: ` `C3- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu of other permits. The permit holder is resp Asible 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 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 .1950, .1952, .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: -4 -Y " 0MV--s - PROPERTY LOCATION:
SUBDIVISION ~ Nt,Q,N LOT # °1
Facility Type: S ~p ~51 xZ 13~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes f , No Basement Fixtures? ❑ Yes ~No
Type of Wastewater System' S~-S°/co P.a vcrwOn y o F-t" (Initial) Wastewater Flow: ~AQ GPD
(See note below, if applicable
91)111?_7~ V Y1695 (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size 106 ® gallons Exact length of each trench `7 p feet Trench Spacin : Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. Y" '-3 -1 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
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.
**If applicable: l understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Represent j nature: Date:
This Construction Authorization is subject to revoca' 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 site. This
Construction Authorization is subject to compliancftt~th the4rova s, a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: - '`•l ~iS Date:
Construc ' n Authorization Expiration Date:
HTE # - S-~j'13 Permit # a-CY7 S1
Harnett County Department of 1 ablic Health
Site Sketch
PROPERTY LOCATON: ~r~ 12G
ISSUED TO: IS t~ 10 s I _~.C-SUBDIVISION N1ca`v LOT # e1
Authorized State Agent: y~aE2~ol Date: a'S,1-.).
w~Q-t Q
Rio'
l6~°
E Mr4 R
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): 'weG c)
Location of Site: Property Recorded: Se
Water Supply: Public❑ Individual ❑ Well
Evaluation Method] Auger Boring El Pit ❑ Cut
Type of Wastewater: -E~ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
1940
SOIL MORPHOLOGY
OTHER
L
Landscape Horizon
.1941
PROFILE FACTORS
E
#
Position/
Slope %
Depth
(In.)
.1941
Structure/
.1941
Consistence
.1942
Soil 1943
Wetness/ 1956
.1944 Profile
Texture
Mineralo
Soil
Color Sapro
De th IN. Class
Restr Class
H
i
or
z & LTAR
I
p
5
G
s
SCR €1✓'t.
15
Description
Initial,
'
Repair System
Other Factors (.1946):
S ste
Site Classification (.1948):
Available space .1945)
System Type(s)
a
I
Evaluated By:
Site LTAR
c
u~
Q
Others Present: