IPACHTE# i'4 —53& X13 Harnett County Department of Public Health 27902
Improvement Permit
A building permit cannot be issued with only an Improvement Pe
PROPERTY LOCATION: [v -c-16T
ISSUED TO: G t V SUBDIVISION M P,- TTi -,E, LOT #
NEW- REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: QQ510 ucA �OsJ �5-s"6-,(\
Projected Daily flow: a.4 0 GPD
Number of bedrooms: _,z). Number of Occupants: max
Basement ❑Yes "E?r No
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well i ®C4 feet
Permit conditionr-- .—
Permit valid for: A Five years
❑ No expiration
Authorized State Agent:: Date: 51 \ el 1 a SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss other permits. The permit hoer is r ponsible 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, .1957, .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 T0: �—�v G�� �v21E PROPERTY LOCATION:
SUBDIVISION rn RM) 1�Qt LOT #
Facility Type: O �'5 °1� New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System' aS °! B Q,!:�: v G'S (Initial) Wastewater Flow: 0 GPD
(See note below, if applicable ❑)
[
yc"� N Q s.S (Repair)
Installation Requirements /Conditions
Number of trenches D,
Septic Tank Size 12,E gallons
Exact length of each trench 10<Z7
Pump Tank Size 10 allons
Trenches shall be installed on contour at a
Maximum Trench Depth of: `'a
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
feet Trench Spacing: 01 Feet on Center
Soil Cover: co inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions: Acv
9ti..,uy^ -6v,+G "v V' ( 19E 'e� V A,6360 C9t)trc cJ� iSAt_1.ow C5<L eu m+
inches below pipe
Depth: inches above pipe
1)5 inches total
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.
* *If applicable: l understand the system type specified is different from the type specified on the app lication. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if 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 subjec�o fiance with t o'sieas�of the end Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3 ho l)
Construc 10 orization Expiration Date: 3
HTE # 1 � — 5— 3
Permit # 20 9 ()�'-
Harnett County Department of Public Health
Site Sketch
I
4
n
rJ
P—L-t4e;T SRIA(Drr-
5p0/
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 >Z\`) Design Flow(. 1949):
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Metho4 er Boring ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I .1940
L Landscape
E 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
ND
✓ - jA°
S3Jt�
V�1 J S
5 �fi'
CZ J to
N �roj \f�
72-j
6
G
S�F
Description
Initial
S ste
Repair System
Other Factors (.1946): �
Site Classification (.1948) J
Evaluated By: 05
Others Present:
Available Space (.1945)
V
System Type(s)
a S- J „.
v
Site LTAR
'3
ND