IPACHTE# -5-- Harnett County Department of Public Health 27917
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LO(AT4ON: C. e, P� F— E- 4C7�
ISSUED TO: C,>,—, G.5 t 1-�1�� tV L SUBDIVISION z , Ls;_ ,,,ss:>yA c. @, \ a �C Urnr� �� LOT # 1
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: S 10 ees�"ww-S) �) NA Sy S ern
Projected Daily Flow: (�Q C) GPD
Number of bedrooms: —'-> Number of Occupants: 1 max
Basement ❑Yes �No
Pump Required: ❑Yes �No El May be required based on final location and elevations of facilities
Type of Water Supply: El —X Public El Well Distance from well feet Permit valid for: AFive years
Permit conditiorTs- - _ _ . ❑ No expiration
Authorized State Agent:: 7` Date: I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in i o way guarantees the issu ther permits. The permit hoP er is re onsible 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 Improvem t egrmit 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: C.P.�G5 i�u1i.9l,at;-1',l% PROPERTY LOCATION: C—o9452, Looe
SUBDIVISION APE--, L.P. *3OIyG @���G vsrcn�i LOT # 1 ��
Facility Type: 5 �nkco
Ks
New El Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ><No
Type of Wastewater System**� (Initial) Wastewater Flow: G00 GPD
(See note below, if applicable ❑)
;DyCnNON s�5�'Gtri (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench apC? feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: la 1 inches
Maximum Trench Depth of. cAy `" 3t 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 (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
* *If applicable: l understand the system type specified is different from the type speciped on the application. l accept the specilcations of this permit.
Owner /Legal Representatly ure: Date:
This Construction Authorization is subject to revocation 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 subject t(114Wliance with t rovis,�L and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 3
Construc ' uthorization Expiration Date:
HTE# 1Li ° Permit # ' ' � N�
Harnett County ]Department ®f Public Health
Site Sketch
PROPERTY LOCATON: aeQE-2 i- OOf
ISSUED TO: ��> - ?S C. SUBDIVISION �-- 1'—ONN G LOT #
Authorized State Agent: Gz.14GR- '701._Y-�b® Date: ,7y
r
N
U
usG
1 =v
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: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑Well
Evaluation Method Au Bo g ❑ Pit ❑ 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
L5
a� 6
G
\Z1 I
Sys
a
GS
W� l
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948): 5
Evaluated By:
Others Present: _
Available Space(. 1945)
System Type(s)
OLD
Site LTAR