IPACHTE# Y °5-33(7�-75- Harnett County Department of Public Health 27913
Improvement Permit
A building permit cannot be issued with only an Improvement Per t
PROPERTY LOCATION: O aN
ISSUED TO: Ary ;/ ® L—LCI SUBDIVISION Mhcn,F 'C-2 -L LOT # �.
NEXX, REPAIR ❑ El SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: i .,E.ot:C%t13 `3TS C_V*�%
Projected Daily Flow: "t ® GPD
Number of bedrooms: '•) Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community --IR, Public ❑ Well Distance from well 1 ®o feet Permit valid for Five years
Permit conditions: � „mac` o expiration
Authorized State Agent:: Date: 3 1 `at- 1 1h SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss a c f other permits. The permit holder is responsib a 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 Impro 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
Reauired 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: S1�� qty ®�s`� 5 La--c- PROPERTY LOCATION: ~ �0�->J �\O'N) �)rdW
OQ-
SUBDIVISION M LOT #
Facility Type: 5';-fl (FDTALA0 % New ❑ Expansion ❑ Repair
Basement? ❑ Yes '5� No Base ent Fixtures? El `Les ,K o
Type of Wastewater System ** ��s7° �Ga 0 GS t � � t75 ; 15 rc�
(See note below, if applicable ❑)
0 t1 (Repair)
Installation Requirements /Conditions Number of trenches d
Septic Tank Size l0 rO gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. `t4, inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: LTV Q GPD
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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 diferent from the type specified on the application. / accept the specifications of this permit.
Owner /Legal Represe Si nature: Date:
This Construction Authorization is subject to revoca a site plan, t 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 subjt(AZ�_compliance ' the provisio he a Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �, �� Date:
Construction Authorization Expiration Date: 3
HTE # 14 _ 15
Permit # a--12113
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 711 -0E-N }} ®`N��6TG?J
ISSUED TO:��v �� �--� -� SUBDIVISION V) -Arvv>e— 6G LOT #
Authorized State Agent: 1 Date:
M
'�)t -06,j Horal�G�a� Drt-
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:
'3
Proposed Facility: yGx2��7 Design Flow ( 1949): r-1�
Location of Site: Property Recorded:
Water Supply: : A ublic❑ Individual ❑ Well
Evaluation Method g
❑ Pit ❑ Cut
Type of Wastewat : 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
�
� 5
craG
C�
V�2c 35`'vl
C
531 -5e-C
Description
Initial
S ste
R air System
Other Factors ( 1946):
Site Classification (.1948): i
Evaluated By:
Others Present:
Available Space (.1945)
1
System Type(s)
Site LTAR
S
r