IPACHTE# Harnett County Department of Public Health
Improvement Permit 2 7 4
A building permit cannot be issued with only an Improvement Permit
6 PROPERTY LOCATION: 1. t t t nrcltrs 6S
ISSUED T0: SUBDIVISION LOT #
NEW't< REPAIR ❑ gPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5Vg C- 713'AZk �J
Proposed Wastewater System Type: "-1 G,� } <) y, .L_
Projected Daily Flow: 3(:�' ® GPD
Number of bedrooms: 3 Number of Occupants: 4=s max
Basement ❑Yes X No
Pump Required: ❑Yes >M No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1C)® feet Permit valid for: Five years
Permit conditions: -- -- . ❑ No expiration
Authorized State Agent:: \ Date: 31 a 1113 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i other permits. The permit holler is resp nsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation i f the site plan, plat, or the intended use changes. The Improve m r 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
Reouired 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: S'2PA G 0 ,n6-a_ C. JM011NA PROPERTY LOCATION: VMM)Nr'5
/ SUBDIVISION LOT #
(,
Facility Type: S FS) _I�}��2.16 X New ❑ Expansion ❑ Repair
Basement? ❑ Yes � No Basement Fixtures? ❑ Yes No
Type of Wastewater System" Co "vS j-7 rt j (Initial) Wastewater Flow:_ GPD
(See note below, if applicable ❑)
C.o s,r-f Lfa' I o ss (Repair)
Installation Requirements /Conditions Number of trenches a
Septic Tank Size 1(n C� c!� gallons Exact length of each trench 1 b0 feet Trench Spacjn : Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: —10 inches
Maximum Trench Depth of: fi"�—� 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: 1 inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: /understand the system type specired is di /ferent from the type speciped on the app /ication. / accept the specifIcations of this permit.
Owner /Legal Representative Signature: Date:
This construction Authorization is su I cation 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 site. This
Construction Authorization is
and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
Authorized State Agent: ' Date: _-),'i 1 i3
Cons ' Authorization Expiration Date: 3
SEE ATTACHED SITE SKETCH
HTE# V 2, — S -- 3Q�Z 6
Permit # ��^L) � )
H-arnett County Department of Public He(,Ijltli
Site Sketch
I — PROPERTY LOCATON: C- V rAM J'Aa6
ISSUED TO: � �ew,\E -) C-\ SUBDIVISION LOT #
Authorized State Agen7v!�������G 1-14G2 Date.
w
In
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: ;�' Qc<'V,-4N Design Flow (.1949): 35 Q _y?
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:[ er Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
'
,�.L�
�5�
�tZ 55I �?
1 �la-1
5'9y- scL
'F2 s) Z
►cl 1CL 4Q'A�
5
Description
Initial
System/
Rep r System
Other Factors (.1946): 5
Site Classification (.1948): P
Evaluated By: c3--�
Others Present:
Available Space (.1945)
System T e(s)
Site LTAR
t
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