IPACHTE# 14 -13 -' �') Harnett County Department of Public Health 27901
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: P(D Ao ea05 '�-1
ISSUED TO: C.v fn(bE127. -9\cQ I—YO Me5 !lLNC. SUBDIVISION C—c:-,eAt.1 e4 A S EssopvS LOT # 1I_
NEW, REPAIR ❑ E SION E] Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5� C "s S^"S Cf
Proposed Wastewater System Type: isr'�� C.aa u CX 1 y t A YS , (—M
Projected Daily Flow: "3r.C) GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes �lo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well L ®q feet Permit valid for: X, ive years
Permit conditions: ❑ No expiration
Authorized State Agent:: _ �3 Date: a..1 ^4ZI 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc other permits. The permit holde�nsible 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 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: 'n-' '12 ):�aMCs I*'G PROPERTY LOCATION: �o iscJV=!f>,
SUBDIVISION CPtSWt. -)44N JZP,5QN5 LOT # _
Facility Type: 81;;Z-7-0 �35 x� New El Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System ** QL&/o 9.MUGT\G 0 sY .5 'S`GM (Initial) Wastewater Flow: 2AO GPD
(See note below, if applicable ❑)
(ZZZVGStC1N J�;�M (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size 10 o0 gallons Exact length of each trench (�=O feet Trench Spacin : Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: E°-1 inches
Maximum Trench Depth of: `�1-% 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 ]OFT. 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 /rom the type specified on the application, l accept the speci(cations of this permit.
Owner /Legal Representa i nature: Date:
This Construction Authorization is subject to revoca he site plan, 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 sub�ompliance with rove If the nd Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ulAS Date: 'i- '-Q71 19
Construe ' thorization Expiration Date: a ��
H T E # 1 LA - 5' -�-L'i Permit # 'aCV �O I
Harnett County Department of Public Health
Site Sketch
,sa
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIL /SITE EVALUATION Code:
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): '3;6Qc � Property Size:
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well ❑ Spring ❑ Other
Evaluation MethodAu _ ring ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process ❑ 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
a-Is
0,10
G SL.
4vh Njkjp
�s
Description
Initial
Systegi
Repair System
Other Factors (.1946):
Site Classification(. 1948): f5
Evaluated By:W
Others Present: —
Available Space (.1945)
System Type(s)
9 S
Site LTAR
S