IPACHTE# Harnett County Department of Public Health 27939
Improvement Permit
A building permit cannot be issued with only an Improvement P rmit
t PROPERTY LOCATION: ®c.rt)
ISSUED TO: `� �,� %71.0 C-T 1 4�,l SUBDIVISION LOT #
NEW REPAIR tWNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 'eO FL6A G4Z) s
Proposed Wastewater System Type: L V— r--z UC 1 0 N
Projected Daily Flow: C-�� GPD
Number of bedrooms: Number of Occupants: -00 max
Basement ❑Yes 'X No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well 100 feet
Permit conditions:
Permit valid for:
Five years
❑ No expiration
Authorized State Agent:: 9-"n Date: 1313" SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Departmen in no way guarantees t -e of other permits. The permit hol 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 In vement 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
(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 T0: PROPERTY LOCATION: 0 c5c"s Q—D
SUBDIVISION no T> E� Q, o LOT # Lfq
Facility Type: 5q� ��P��B New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes( No
Type of Wastewater System' iZ-CeD U C5;1 01 J S S 7 (Initial) Wastewater Flow: �� ® GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements /Conditions Number of trenches i
Septic Tank Size 1 0 a ° gallons
Pump Tank Size t ® gallons
CI"ir tit e
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench
Trenches shall be installed on contour at a
Maximum Trench Depth of:
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover: G - 1$ inches
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 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: l understand the ystem type specified is different from the type specified on the application. /accept the speciTcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is suble ocation if the site plan, 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 sucomplian`h i it rovisio the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
S Date: ( ,
Authorization Expiration Date:
HTE# 1Li—S-33-L►1% Permit # �
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: D �' ,, 9,c>
ISSUED TO: \rj N Co <Z'Xi is 10 N SUBDIVISION -TQd—nG—r15 R-,QG C LOT # L45'
Authorized State Agent:�
Date: l�
•
I
I
►a)A "
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: y,� Design Flow (.1949): 3 i)
Location of Site: I Property Recorded:
Water Supply: ,� Public❑ Individual ❑ Well
Evaluation MethodZ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater:' I�Zl Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
Description Initial Repair System Other Factors (.1946):
S stem, Site Classification (.1948): `5'
Available Space( 1945) v / Evaluated By: C_A.�
System Type(s) J `` r j LL v 6C L , _ ., Others Present:
Site LTAR t�
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
C-� 5
V )1
Description Initial Repair System Other Factors (.1946):
S stem, Site Classification (.1948): `5'
Available Space( 1945) v / Evaluated By: C_A.�
System Type(s) J `` r j LL v 6C L , _ ., Others Present:
Site LTAR t�