IPACHTE# { L} - 53311 Harnett County Department of Public Health 27937
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
G PROPERTY LOCATION: �er��+� R t NG5
ISSUED TO: y� J SUBDIVISION 65 LOT # �►"
NEW( REPAIR ❑ EXPANSION ❑
Type of Structure: P gNN )-k d c',E Q21% xtj `6�
Proposed Wastewater System Type: AS°) 0 o -tr(, 0_,o
Projected Daily Flow: `� u 0 GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Well Distance from well f C7 ci feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: al __c-z 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no Z!fes the issuanc r permits. The permit holder is re 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 rmit 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, .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: M Rrc C-CA VJ PROPERTY LOCATION:
SUBDIVISION �"2--'D, LOT # °t-
Facility Type: � �' � �A-o noCC�0' LA'0 New ❑ Expansion ❑ Repair
Basement? ❑ Yes :�4 No Basement Fixtures? ❑ Yes �(No
Type of Wastewater System (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
o ISL6,2) v --i � Ct sJ (Repair)
Installation Requirements /Conditions Number of trenches 3
Septic Tank Size i 0 d d gallons Exact length of each trench � d feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. sc�q_ 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
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.
* *If applicable: /understand the r,y type rpeciFed is d /fferent from the type speci>ied on the app /icat /on. I accept the rpecificationr of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocatio to plan, plat, a intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subje�to liance with the p ' io s ules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: , , �" V 1�1S Date: S
Construct) uthorization Expiration Date:
HTE# ,�i - 'S -�3�) Permit #
County Harnett Department of 1 Health
Site Sketch
jw,Vp - TIC L-1
�1s
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: a S CQ"-, Design Flow (.1949): �� 10��� Property Size:
Location of Site: Property Recorded-
Water Supply: ❑ Public[] Individual Well ❑ Spring
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
❑ Other
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
D th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
't
3
xsu
r1 651
I
a0:34C
Six 5t'L
,oy2�
1
3
G S
V1 lu`�/vP
(6 33
sc
fl '5?)
Description
Initial
S ste
Repair System
Other Factors (.1946):
Site Classification (.1948): S S
Evaluated By:(-' '
Others Present:
Available Space (.1945)
System Type(s)
a ">
Site LTAR
tt
't