IPACJTE # 14 -5 -314 5 CJ Harnett County Department of Public Health y
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
I ` r PROPERTY LOCATION: N C..a 10
ISSUED TO: E) Tt�A L_F__ 1 E W t_rnp% 4 SUBDIVISION LOT #
NEW'K REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: A \-1' ®mc-_ p1L1�'` -10
Proposed Wastewater System Type: 2s5% i— C,QVGS ,d+4t Y5-rc_-,
Projected Daily Flow: 7,L10 GPD
Number of bedrooms: `ci. Number of Occupants: L+ _max
Basement ❑Yes `K No
Pump Required: ❑Yes -A No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: El Community Public El Well Distance from well 1C>0 feet Permit valid for: Five years
Permit conditions: - ❑ No expiration
Authorized State Agent:: % .x' t7 Date: `hl --� 11l SEE ATTACHED SITE SKETCH
The issuance of this permit by the health Department in no way guarantees the is other permits. The permit holde responsible 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 ermit 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: �N : `r►Lunp\ PROPERTY LOCATION: G 1�
((yy SUBDIVISION MEtzo, Cam 7 LOT # _5
Facility Type: 7``i+1l 7z-n) X New ❑ Expansion ❑ Repair
Basement? El Yes No Basement Fixtures? ❑Yes No
Type of Wastewater System" r-',S01, QK- Z\jco� i 0 N ` /5' C4,r`, (Initial) Wastewater Flow: �_ GPD
(See note below, if applicable ❑) c�_
c` l_S /o `�ib\Jc—T\0N1 (Repair)
Installation Requirements /Conditions Number of trenches 3
Septic Tank Size 1. e®4 gallons Exact length of each trench F=® feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: % inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 0 Feet on Center
Soil Cover: C_ 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 LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: cable: / understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner /Legal Repres nature: Date:
This Construction Authorization is subject to ca 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 isct't compliance w tlfhQons o he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ��� ���� -J Date: 011S t1
Construction Authorization Expiration Date: c►
HTE #
WIMAN
Authorized State Agent:
Permit # `�S(O3
Department Harnett County of 1 Health
Site Sketch
0
1 PROPERTY LOCATON: �—►
i ``I SUBDIVISION LOT #
R r� t•4 (0,10L..007 Date: q'��1L�
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): x�ox)
Location of Site: Property Recorded:
Water Supply: XrBa�ing ublic❑ Individual ❑ Well
Evaluation Method: Au El Pit ❑Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
SOIL MORPHOLOGY
.1940 .1941
Landscape Horizon
Position/ Depth .1941 .1941
Slope % (In.) Structure.' Consistence
Texture Mineralogy
OTHER
PROFILE FACTORS
.1942
Soil .1943 .1956 .1944 Profile
Wetness; Soil Sapro Restr Class
Color Depth (IN.) Class Horiz & LTAR
U
�.-G
Nrt S,5
4:5c
Description Initial Repair System Other Factors (.1946):
System " Site Classification (.1948): 3
Available Space (.1945) Evaluated By: � �
System Types) Others Present:
Site LTAR