IPACHTE# 14 --5- 32N4'1 Harnett County Department of Public Health 27790
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: W —W--A �Ab I-gr --rd Xf
ISSUED TO: SAVY7i lAn-cS L,LC_ SUBDIVISION MKM`c— Q, P--, C) e LOT # _
NEW'[ REPAIR ❑ JPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 6FO ( 54& 0-
g
Proposed Wastewater System Type: �- O/, QX--DvG 10,,4 SYs �G.rYti
Projected Daily Flow: L-V i ® GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 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 V n0 feet Permit valid for: AFive years
Permit conditions: ❑ No expiration
Authorized State Agent: '��.\ S A) Date: 17 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss a other permits. The permit holder is rest onsible 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 Improve ermit 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: SQ-N -f y 5 1. —.4--C' PROPERTY LOCATION: fbca- z.R,Ao,,iiN �oN '�)y-
'gP -Lt— ,ocC LOT #
Facility Type: IS7 -0( �6 �`��� X New ❑ Expansion ❑ Repair
Basement? ❑ Yes -�W No Basement Fixtures? ❑ Yes No
Type of Wastewater System ** �le, Uc/v ) Q L,) S :j :zT-6 fY1 (Initial) Wastewater Flow: L4 O GIRD
(See note below, if applicable ❑) `�
`�_S 7 c, 0 (Repair)
Installation Requirements /Conditions Number of trenches I
Septic Tank Size t C5 d o gallons Exact length of each trench `3(�d feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 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 inches below pipe
c7 t� Aggregate Depth: inches above pipe
p
Conditions: Ti—l�5 ��,M. i i�A. p J W l W905N J_ VaGKN �p2L�C,p�.l1� L--SS 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: l understand the system type specired is different from the type speciped on the application. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subie - - to- rexo_cation if the site plan. plat. or the intended use changes. The Construction Authorization shall not be transferred when there is a chancre in nwnershin of rho alto Thk
Construction Authorization is s��omplianc t visio f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3-'
Con tion Authorization Expiration Date:
SUBDIVISION 'iIf,m�G '
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: l understand the system type specired is different from the type speciped on the application. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subie - - to- rexo_cation if the site plan. plat. or the intended use changes. The Construction Authorization shall not be transferred when there is a chancre in nwnershin of rho alto Thk
Construction Authorization is s��omplianc t visio f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3-'
Con tion Authorization Expiration Date:
HTE # 14 — 5- `3ALA
Permit #
%mr
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: Sc�Y �tt L-LC.. SUBDIVISION LOT # G`1
Authorized State Agent: �O �� v i 0�' Date:
a3ae
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: �- 5. _-ALA Design Flow(. 1949):1WZ` ,
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method-.9 A er Bo ing ❑ 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
'3't?
L.S•
s
G
G L.S
vFR
e�3 S
G4
V gin- Ns�iP
Description
Initial
Systgan
Re air System
Other Factors (.1946): V`
Site Classification (.1948): '1 --1
Evaluated Byzj
Others Present: v-� C,
Available S ace (.1945)
System Type(s)
V ' r
Site LTAR
5
'3't?