IPACHTE# � 1-i - -5-33M 1+ Harnett County Department of Public Health 28007
Improvement Permit
A building permit cannot be issued with only an Improvement P�(�tt
PROPERTY LOCATION: CJiC— XI- Y+1LL �6L
ISSUED TO: E. �A 0 M C-S (-..[--C -- SUBDIVISION \ LOT # 14
NEW,)!� REPAIR ❑ E SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 9'P D (L-)S " �S
Proposed Wastewater System T e:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well I feet Permit valid for. ❑ Five years
Permit conditions: c ❑ No expiration
Authorized State Agent:: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the - issi ct; other permits. The permit hold r is respItmsible 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 Improve—MMWermit 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: M C,�-.cE ii o nL5 LL G
Facility Type: 5 R�'Q `L-JS 'ALA - -X New
Basement? ❑ Yes No Baseme Fixtures? El Yes
Type of Wastewater System" ILS�'1Jd �� U in N
PROPERTY LOCATION: C-)A EQQ1 ' \A)L(- �2
SUBDIVISION a t>,yc.NL)otJ-;� LOT # 114q
❑ Expansion ❑ Repair
,I,-/s No
(See note below, if applicable ❑) n _
Q -EjjJ(Zi-,) 0 N Sys ,Z-m (Repair)
Installation Requirements /Conditions Number of trenches 3
Septic Tank Size 14CILCID gallons Exact length of each trench } feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: A -3C) inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: yrM 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 LOFT. 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: / undecrtand the r,y type apeciped is different from the type rpeciFed on the app lication. /accept the speciFcations of this permit.
Owner /Legal Representative Signature:
Date:
This Construction Authorization is Z,,l.o revocation 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 su } oplia th the visions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: P -1f.5 Date: I�
onstruction Authorization Expiration Date: ) �
HTE # ti L� -5- �33f --1
Permit # 3" an
Harnett Connty Department of l�tblie Health
Site Sketch
M
cal)) IA1 QV-
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: Design Flow(. 1949): �'s� U 3�� Property Size:
Location of Site: Property Recorded: ql
Water Supply: ublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method- 'ng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ 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
L l
036
3- 1A
G
0-3 O
.5
Yr�
3
C, SL
Description
Initial
Syste
Rep tr System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
S
Site LTAR
. C