IPACATE #J 4 —5 Harnett County Department of Public Health 1
Improvement Permit
A building permit cannot be issued with only an Improverrlwpt Permit
PROPERTY LOCATION: y N
ISSUED TO: sgC RQ cnC,15 `J Cr SUBDIVISION fn VLP, c.E LOT # $ i
NEW-g REPAIR ❑ EXPAN3 ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of tructure: Ste. Q
Proposed Wastewater System Type: Q c, 2>\ja \4t4 �3iEM
Projected Daily Flow: 15 GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes 'Itao
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 1 bC feet Permit valid for JKFive years
Permit conditions-' -- �y ❑ No expiration
Authorized State Agent:: L--)As Date: `l '► t" SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua {ther permits. The permit holdel is resp tsible 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 Improvenne-nTIfermit 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, .1957, .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: 1 �':� �k()rnG� l� c, PROPERTY LOCATION: �A7 0>'o 1N G CN
��� �,�$•�`S� SUBDIVISION f`1�2�ta;c u�.� LOT # '8fo
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement F' tures. El Yes
o
Type of Wastewater System ** 44S / o vCIS ti IJ N Ys C —rc� (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
v , c? A (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size L IFD (::) Q gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 50 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. - V9 -30 inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover: G— ft inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING 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: /understand the system type specified is different from the type specified on the application. / accept the .specifications of this permit.
Owner /Legal Representative ature: Date:
This Construction Authorization is subject to revoZ th Ian, 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 complian Z the prow ' the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: FLEE —S Date:
Constro ' Authorization Expiration Date:
HTE# 11-1
Harnett County
Permit #
Department of Public Health
Site Sketch
T3,
4 c "N
c
A
Fl�us& ]
4 c "N
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),
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: ugef Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landsca
Position.1941
Slope %
7Horizon
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
Structure'
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
s
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By: c.
System T s
y yp e () �� 1
Site LTAR Others Present:
,, � L