IPACHTE# � ®° �,' , Harnett County Department of Public Health 27751
Improvement Permit
A building permit cannot be issued with only an Im rove ent Permit
PROPERTY LOCATION: 0 V C. W-0
ISSUED T0: P CLY CD U d ac-- SUBDIVISION Gf-2Y y o LOT #
NEWX REP�IR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5VQ S(- A '►3'
Proposed Wastewater System Type: 2�S°ia RC D u(::;: 10 r.1
Projected Daily Flow: 410 GPD
Number of bedrooms: t Number of Occupants: q:6 max
Basement ❑Yes X No
Pump Required: ❑Yes )<No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well t C�® feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 1 f ® I 1-21S SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of othe . 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 Improvement Permit of 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: K1:4 QI114- PROPERTY LOCATION: c, 00Q*Lo
SUBDIVISION GML-i 'A<— �vIcLf LOT #
Facility Type: —; �� tX�3 J ,X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No
Basement Fixtures? ❑ Yes No
Type of Wastewater System **
d.S ° ci
�� QC.� } Q ra y�sGK`
(initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
a.S"lQ
R us:� U C�� -) o T'� (Repair)
Installation Requirements /Conditions
Number of trenches Q,
Septic Tank Size 3 O a d
gallons
Exact length of each trench 1 SO feet
Trench Spacing: c1 Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of: N 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
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
* *If applicable: / understand the system type specified is different from the type specified on the app lication. /accept the rpecificatianf of this permit.
Owner /Legal Representative Date:
This Construction Autho iz 'an is subject to r anon if plat or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is compliance wi ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 11
Construe ' Authorization Expiration Date: —
HTE#
Permit # a�'-I � )
Harnett County Department of Public Health
Site Sketch
; "'Ovev-SLO ap
I
M
9
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):4 %C7
Location of Site: Property Recorded:
Water Supply: !XlPublic❑ Individual ❑ Well
Evaluation Method: Auger 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
lk
155 y-
3 31
2
C s
NiNZ �� "i s\,4
53� se-L--
V7ns5�5�
�S
3
a- ab
Description
Initial
S ste
Repair System
Other Factors (.1946):
Site Classification (.1948): Q„$
Evaluated By: GI.
Others Present:
Available Space (.1945)
V
V,
System T e(s)
Site LTAR
•�
lk