IPACHTE# I'3 Harnett County Department of Public Health 2 7 6 Q 3
Improvement Permit
A building permit cannot be issued with only an mprovement Permit'
` PROPERTY LOCATION: t Q G �� art 4y
ISSUED TO: T
`e-n— ' 0ME.S SUBDIVISION `4-io M cacz LOT #
E �REP�AIR EXPA ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: t-lt-'1 xLAI5
Proposed Wastewater System Ty e: Z ®lc9--G —Z y0; N
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes K No
Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community >< Public ❑ Well Distance from well O feet Permit valid for: Five years
Permit conditions: --- � N ❑ No expiration
Authorized State Agent:: Date: l(5 1 11 )- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees su a of other permits. The permit holder is respo sible 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 ent 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: VoM C 5 PROPERTY LOCATION: t (-E o N `IJ 4'y
Facility Type: ��� °��f �'�
SUBDIVISION 1 t-t_atV -"5
'>< New ❑ Expansion ❑ Repair
t`�twcg - LOT #
Basement? ❑ Yes No
Basement Fixtures? ❑ Yes` No
Type of Wastewater System **
2S` °1v
S�G.��c -�e 1ST
(Initial) Wastewater Flow: L4��o GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements /Conditions
Number of trenches Li
'7
�
Septic Tank Size 1000
gallons
Exact length of each trench S feet
Trench Spacin : Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: TD, inches
Maximum Trench Depth of. I ` 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: / understand the system type specified is different from the type specified on the application. / accept the specipcations of this permit.
Owner /Legal Representative Sign Date:
This Construction Authorization is subject to r cation i to a intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization ' s o compliance the and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construe Authorization Expiration
HTE# 13+5~ X2N � CD
Permit # QO W
Harnett Connty Department of 1�-tblic Health
Site Sketch
M
I
I
I
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:
Proposed Facility: ogzc�
Location of Site:
Water Supply:
Evaluation Meth Aug c
Type of Wastewater:
Date Evaluated:
Design Flow (.1949):1'i`�d qe�
Property Recorded: J
Public❑ Individual ❑ Well
rct ❑ Pit ❑ Cut
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 :]:De
.1943
Soil
th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
R., 5
Description
Initial
S
R pair System
Other Factors (.1946):
Si te Classification (.1948):._,/
Evaluated By:
Others Present: °
Available S ace (.1945)
System T e(s)
G
Site LTAR