IPACHTE# tit -5 11 Harnett County Department of Public Health 27798
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M�C�ov�o,t�0
ISSUED TO: Ky—t3 y4c,— A c4J rn M1 N 65 SUBDIVISION LOT #
NEW REPAIR ❑ 13 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: r',�' FQ �5ANSION
Proposed Wastewater System Type: atJ�lo R.ES�UC tON 55cr
Projected Daily Flow: 360 GPD
Number of bedrooms: Number of Occupants: 6 max
Basement ❑Yes ANo
Pump Required: ❑Yes --'!!�,No ❑ May be required based on final location and elevations of facilities
Type of w4m4upply. ❑ Community ' Public ❑ Well Distance from well �_ feet Permit valid for: Five years
Permit conditions: ''1 S,\ ❑ No expiration
Authorized State Agent:: � 4 N Date: alizz, 1, t SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Departm in no way guarantees the is wt�of other permits. The permit hold r is resp 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: kEN r4 e-�t4 CyM(Y \)t,�GS PROPERTY LOCATION: C�c�oU�Pr1.0 Pw
SUBDIVISION
Facility Type: SFj� `(0 i "J ) ' New ❑ Expansion ❑ Repair
LOT #
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ` No
Type of Wastewater System ** �S% �Et� V G'S' d N �j Y5'it t�1
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
3.Sr)O R- COYG'5 f S YsTr
00 --01 (Repair)
Installation Requirements /Conditions Number of trenches 3
Septic Tank Size I 0CX0 gallons Exact length of each trench -15 feet
Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover: G 1Q inches
Maximum Trench Depth of: N "4:;k 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 application. / accept the specipcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to rev 'Z74 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 su mpliance wit roves tfliN.yvs and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ��� ��y l .5 Date: Q 2-) vA
Construction horization Expiration Date: 2 '�
HTE # � 1-i 5 -3-��) ) Permit # 2- I W
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: 3 3QCZi� Design Flow (.1949)- .560)e
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: ug BBonng ❑Pit
d ❑ Cut
Type of Wastewater: @wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
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
v
_
.0
P�
W-1 i SCI _J N
vm J lqc
tai
,X�
TR X55
O
X11
j3y-- CL—
�3K Cl)—
IFO 53
1 r, t u a'
Description
Initial
S ste
R air System
Other Factors (.1946): 5
Site Classification (.1948): 1
Evaluated By: 4Zi�
Others Present: ,
Available Space (.1945)
System Type(s)
Site LTAR
Lk