IPACHTE# )L-i --5 Harnett County Department of Public Health 28031
Improvement Permit
A building permit cannot be issued with only j� Improvement Permit (�
t PROPERTY LOCATION: `t` ®�Q �`-
ISSUED TO: CU c n SUBDIVISION 4 �-, o,',) 5 LOT #
NEW REPAIR 0 EXPON El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5'�' D (- 5t2'c: �
Proposed Wastewater System Type: c'I c>
Projected Daily Flow: e, GPD
Number of bedrooms: Number of Occupants: �O max
Basement ❑Yes -�kNo
Pump Required: ❑Yes ❑ No ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �-4§�Public ❑ Well Distance from well C? feet Permit valid for: Five years
Permit conditions:. ❑ No expiration
Authorized State Agent:: Date: `6 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan o he ermits. The permit holder is respon ible 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 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 Permio
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1956. 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: U`n t �' vX65 �*sG PROPERTY LOCATION: PC, >aloln fi�11
SUBDIVISION 0 0 LOT #
Facility Type: ��? New ❑ Expansion ❑ Repair
Basement? ❑ Yes ",me nt lures? ❑Yes o Type of Wastewater System o '�� u -'` l N -j 7 ( (Initial) Wastewater Flow: r94 Q) GPD
(See note below, if applicable ❑) f
o iav Cn` N 0 "� (Reoairl
Installation Requirements /Conditions
Septic Tank Size \--It) C C) gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Number of trenches N.
Exact length of each trench '`a b feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 1�1 "3 C inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: (z, _ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
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 specifed on the app /ication. / accept the specifications of this permit.
Owner /Legal Representative Ig Date:
This Construction Authorization is subject to re tion i 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` t`t�cQ liance wit a aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: N Date: '8
r ' n A
Constuthorization Expiration Date:
HTE# oLi 33
Permit # 9�`I 1
Harnett County Department of 11�iblic Health
Site Sketch
i5
3
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: 3 OOw Design Flow (.1949): 36Q5C
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method- Auger Boring ❑ Pit ❑ Cut
Type of Wastewat Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
SOIL MORPHOLOGY
.1941
Horizon
Depth .1941 .1941
(In.) Structure/ Consistence
Texture Mineralogy
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Site LTAR
<'�
j
Description
Initial
Systeny
epair System
Other Factors (.1946):
Site Classification (.1948): 5
Evaluated By:
Others Present: ✓
Available S ace (.1945)
System Type(s)
'J )
Site LTAR
<'�