IPACHTE# Harnett County Department of Public Health 27911
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Mc.Oo IJ 6ca,Lo
ISSUED TO: s SUBDIVISION LOT #
NEW, REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'bVV t 36`T'aj 6'
Proposed Wastewater System Type: a5 °/e 10 hL 7 GKn
Projected Daily Flow: ® GPD
Number of bedrooms: Q— 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 104, Public ❑ Well Distance from well i ®Q feet Permit valid for: ive years
Permit conditions: SZZZ-- ❑ No expiration
Authorized State Agent:: ��� � �� Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o its. 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 Per hall 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. { n
ISSUED TO: �LE7{ 'VNA0 PROPERTY LOCATION: tl t c, \J o y SAT g QD
SUBDIVISION '° LOT # 5
Facility Type: ` New El Expansion El Repair
Basement? 1-1 Yes No Basement fixtures? ❑ Yes XNo
Type of Wastewater System ** UyG-5� 0 tv 'S y- i (Initial) Wastewater Flow: c GPD
(See note below, if applicable ❑) d
P V f 1F 70 as )o OUC�4 A (Repair)
Installation Requirements /Conditions Number of trenches 2�..
Septic Tank Size 10®(U gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. V� '�A inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: c) Feet on Center
Soil Cover. Q — ) JG inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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 ryrtem type speciTed it different from the type apecifed on the app /ication. /accept the rpecificationr of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is su j -evocation if the s' Ian, 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 subjer�, ccom fiance rovisi he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: -% -- ��1 X15 Date: _
uction Authorization Expiration Date:
HTE# 14 _ 5 -- 33034 Permit # �Q �) 11
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent:
* G 1_G EIvG. 's v,
L1,G un,C
C)Q,�N w
PROPERTY LOCATON: fl o QD
SUBDIVISION LOT #
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: . Evaluated
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: U Public❑ Individual ❑ Well
Evaluation Method: Auger Bo 'ng ❑ Pit F1 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
+ L�
Y� A
5u-
�� �5�
VQ"'�V -
Description
Initial
system
Repair System
Other Factors (.1946):
Site Classification (.1948): Q,3
Evaluated By:–(Y\
Others Present: —
Available Space (.1945)
System Type(s)
'
Site LTAR
`�