IPACHTE# tit °-5 L�`1 Harnett County e art e of lic Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M oKLI,*
ISSUED TO: V-�sHrA C, SUBDIVISION NS,- ,a—,aCZ> LOT # 13S
NEW%' REPAIR ❑ EXPANSION I-] Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S Ir® (Lt' ' Al S� J
Proposed Wastewater System Type: :;L-S"1 o, 9,ZD v U+' 1 d
Projected Daily Flow: 3 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes )9,No
Pump Required: ❑Yes �'KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well I(W) feet Permit valid for: Five years
Permit conditions: ❑ No expiration
� t
Authorized State Agent: —'\1A-1 Date: 1��Z 0112— SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss u e of other permits. The permit Colder 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 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.
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: C—v 4—I'n'LN 65 PROPERTY LOCATION:
SUBDIVISION LOT # \35
Facility Type: 5 VV L4'1`+S� J New ❑ Expansion ❑ Repair
Basement? ❑ Yes - No Basement Fixtures? ❑ Yes .y10
Type of Wastewater System ** C..5"Ye TZ,Wv cK, u a (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
!�37°fe 9 -C-.D u ccs ON (Repair)
Installation Requirements/Conditions
Septic Tank Size 10 p® gallons Exact length of each trench I'So feet Trench Spacing: 1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 1 a. >» inches
Maximum Trench Depth of. 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
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
inches total
* *If applicable: / understand the system type specified is different from the type specified on the app lication. / accept the specifications of this permit.
Owner/Legal RepresefltatLye Signature: Date:
This Construction Authorisation is subjec vocation if a 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 Constructio thoriiato ' u ' omp 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 State Agent: 1 Date: I A 1
Co ion Authorization Expiration Date: I Sa o 1
HTE# Permit #
Harnett County Deprixtinent of -1�lblic Health
Site to Sketch
ISSUED TO:
Aut
7
U
i
PROPERTY LOCATON:
_ SUBDIVISION 6t =01�Q LOT # L
&Q,-T. aLY -W-0 � Date: V11 14
M
1$C}
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:'i 9' (1jgj:S% ti Design Flow ( 1949):'S4, S�
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Methoel!IAuger Boring ❑ 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.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
TDJN.)
.1956
Sapro
Class
.1944
Restr
Horiz
y {
X
/
1 �
4e
�-
O-Lfk
Description
Initial
S ste
Re air System
Other Factors (.1946):
Site Classification (.1948): j
Evaluated By: 0'4
Others Present: 13"
Available Space (.1945)
System Type(s)
�a a
Site LTAR