IPACAarnett County Department of Public 2794
Improvement Permit
A building permit cannot be issued with only an Improvemen Permit
PROPERTY LOCATION: macs
ISSUED TO: G EE [ O M L SUBDIVISION Q S LOT # _
NEW,, REPAIR ❑ EXPA N El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S V 0 C56-e
Proposed Wastewater System Type: � J ° <a v c.� � a 4 -+5' 1G'-CN
Projected Daily Flow: (;®® GPD
'c
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 Suppl : ❑ Community Public ❑ Well Distance from well l do feet Permit valid for: Five years
Permit conditions: ` ❑ No expiration
Authorized State Agent:: 1
The issuance of this permit by the Health Department in no way guarantees the 5
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
5 Date: 141 '.\3 11!1 SEE ATTACHED SITE SKETCH
permits. The permit holdel is resp nsible for checking with appropriate governing bodies in meeting their requirements. This
awit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: fn GX�r,— "aro,,--, L,LC- PROPERTY LOCATION: oo c'5
� (� ," SUBDIVISION � r�13 4 LOT # °1
Facility Type: S�J) X New ❑ Expansion ❑ Repair
Basement? ❑ Yes V No Basement Fi res? ❑ Yes k No
Type of Wastewater System* �S °� c p u S y s & rr (Initial) Wastewater Flow: C-0 GPD
(See note below, if applicable ❑)
�: p,��
� C—Z v <-;Z e C/ �'—\ (Repair)
Installation Requirements /Conditions Number of trenches I
Septic Tank Size 1 aka ® gallons Exact length of each trench 2�-S� feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. ?30 inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacin : f Feet on Center
Soil Cover: o inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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: /understand the system type specified is different from the type specified on the app lication. / accept the specifications of this permit.
Owner /Legal Represen ' nature: Date:
This Construction Authorization is subject to revo if the 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 isqkecNp compl'iNk with the, '`on the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: \i l\ Date:
"tAkction Authorization Expiration Date:
HTE# 4 ®x_3335` Permit # a—`1 "'�4
Harnett County Department of i- blic Health
Site Sketch
ISSUED TO:
Authorized !
PROPERTY LOCATON: 00-5
_
SUBDIVISION QP+a \\t�Ci LOT #
is Ns (p , LA -46 701.755 LT)- Date: _ 41a.31
36�
GC7 U EvY�15 >O �. tJ �2„
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): c-'T
Location of Site: Property Recorded:
Water Supply: `` ublic❑ Individual ❑ Well
Evaluation Method:,Q Auger Boeing ❑ Pit ❑ Cut
Type of Wastewater:
yp [] Sewage ❑Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
Description
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
System T e(s)
«,e `Co
G
Others Present:
Site LTAR
c,
L-)
o 316
5
NFL V6
Description
itial
Repair System
Other Factors (.1946):
stein
gIn
;
Site Classification (.1948):.
Available Space (.1945)
\I
V
Evaluated By: �1
System T e(s)
«,e `Co
G
Others Present:
Site LTAR
c,
1,x JJ6U 0. 18 �C1-'