IPACHTE# 1 "- -t-7� 1 Harnett County Department of Public Health 28050
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
T'J PROPERTY LOCATION:= ~ >2y>t,�
ISSUED TO: SUBDIVISION C3 p. MCA C LOT # 113
NEW, REPAIR ❑ —EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _5q7) C ->
Proposed Wastewater System Type:
Projected Daily Flow: 'S ® GPD
Number of bedrooms: � Number of Occupants: G max
Basement ❑Yes XNo
Pump Requiredes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well S feet Permit valid for: LFive years
Permit conditions: ` ❑ No expiration
Authorized State Agent:: Date: ���2»"1t1� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is u her permits. The permit holder is re 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 Improveme it 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: ea - G ees 1 �-C - PROPERTY LOCATION:
SUBDIVISION Q t "-'. 110-VT LOT # tQ5
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes ,2�, No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System ** U MED 7 V v1 o \J 0c 1 0 jJ (Initial) Wastewater Flow: �O GPD
(See note below, if applicable ❑)
0 a.S nVC;Sf Q�Q (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size ti0 ®a gallons Exact length of each trench 'RO feet
Pump Tank Size t add gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. dS inches
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: t 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 ]OFT. 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 app lication. / accept the specifications of this permit.
Owner /Legal Represen nature: Date:
This Construction Authorizatio ect ' '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 prov ' of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: IO L4 1
Construction Authorization Expiration Date:
HTE# Permit # 'zoso
Harnett County Department of Pablic Health
Site Sketch
3 L-1 ,4 ,F-s ao,�jf
MM
No
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: APublic❑ Individual ❑ Well
Evaluation Method,99 Auger Boiling ❑ Pit ❑ Cut
Type of Wastewater: 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 %
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
`
CIS
(I Nz:k _'__'))Mq
�=
C-
Y'L �
Q�
Description
Initial
S ste
Re it System
Other Factors (.1946):
Site Classification (.1948)
Evaluated Bye
Others Present.°
Available Space(. 1945)
S stem Type(s)
V CV)
' G
Site LTAR
`