IPACHTE# 12--~ Harnett County Department of Public Health
Imarovement Permit 2 6 9 5 2
A building permit cannot be issued with only an Improvement Permit
l` PROPERTY LOCATION: \4 dmc-
ISSUED TO: AgmZ LL. C. SUBDIVISION Y.S=ra1.A,~ t ~ 2hv LOT # _
NEW' REPAIR ❑ €IPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: (S5 x
Proposed Wastewater System Type: 3-S*10 Qt-K3UG\- l 0 ,J
Projected Daily Flow: L) V) GPD
Number of bedrooms: L-11 Number of Occupants: "00 max
Basement ❑Yes '~K No
Pump Required: ❑Yes ❑ No 'XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well lZ ® feet Permit valid for: X Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: - Date: `L1 )-I ! YL SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i ce other permits. The permit holder is responsible 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 Impro 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: 5 9),4" PROPERTY LOCATION: rrtG
SUBDIVISION ~►vt.~1a r~ LOT #
Facility Type: t )V:0 ~SS x J X New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~K No Basement Fixtures? ❑ Yes No
Type of Wastewater System** D4~°iG Q-E.DUG-ct q r1 a~)- (-m (Initial) Wastewater Flow: 103 GPD
(See note below, if applicable
P
Installation Requirements/Conditions
Septic Tank Size 1-(O(Z)C> gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
o a l k DUc;,)ON (Repair)
Number of trenches 3
Exact length of each trench 100 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
_ GPM
Trench Spacing: Feet on Center
Soil Cover: 6 ~1. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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. l accept the specifications of this permit.
Owner/Legal Representative Sign Date:
This Construction Authorization is subject to revocation if t to 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 su6j~ctmpliancethe ova Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: a1 1`)
Authorization Expiration Date:
HTE#
Permit #
Harnett County Department of IN-iblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: 5g~t1, 1lfidnE C,. SUBDIVISION LOT #
Authorized State Agent: -~6 mLt Y Lrt,:KQ-t-x50 o Date: 1
Department of Environment; Health and Natural Resources }
Division of Environmental Health Sheet:
On-Site Wastewater Section Property ID:
Lot
SOIL/SITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant.
Address: Date Evaluated:
Proposed Facility:',~ Design Flow (.1949): 5e Pro
Location of Site: perty Size:
Water Supply: Property Recorded:
ublic❑ Individual ❑ Well
Evaluation Method: uger Boring ❑ Spring ❑ Other
Type of Wastewatef: ❑ Pit ❑ Cut
Sewage ❑ Industrial Process
❑ Mixed
P
R
O
F SOIL MORPHOLOGY
1 .1940 .1941 OTHER
L Landscape Horizon PROFILE FACTORS
E Position/ Depth 1941 .1942
o .1941 .1943
# Slope /o (In.) Structural Consistence Wetness/
Texture Mineralo Soil
Color D IN.
55 ~1
5y- ~r 1(~ J 01--31
-a` C 5 Vr1i
or
34 z. C_
`
~5q
c>- 31
Initial Repair System
LTAR - Ij2"
4
umer r actors (.1946):
Site Classification (.1948):5
Evaluated By: G,
Others Present:
L916 .1944 ProFle
Retr IlLTAR
lHoriz P;
r~
r~