IPACHTE#-14 - 3'�� Harnett County Department of Public Health 28153
Improvement Permit
A building permit cannot be issued with only an Improvement Permit .(�
�/ PROPERTY LOCATION: Ck-'gsL—) 11-L 1 (L
ISSUED TO: m c-T E, ® mom u-c— SUBDIVISION ® ""C LOT # S5 Q
NEV >< REPAIR ❑ EXP ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System T pe:
Projected Daily Flow: �a GPD
Number of bedrooms: Number of Occupants: max
Basement Dyes N0
Pump Required: ❑YesNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ..Public ❑ Well Distance from well )i ®Q feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: \ -N3 Date: \ 1 I 1-i I ! c- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the cafe other permits. The permit holder is 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 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: 5 LL-C- PROPERTY LOCATION: C-�AG2K �
Facility Type: 5�� ���1�'�t -l��
SUBDIVISION r� o.� LOT # ` 6
New ❑ Expansion F-1 Repair
Basement? ❑ Yes -'�K No
Basement Fixtures?
❑ Yes XNo
Type of Wastewater System **
�� o
Go y C U tit SY57 6-
(Initial) Wastewater Flow: L i O GPD
(See note below, if applicable ❑)
t
�C,�y �'i'\
a
o +N (Repair)
Installation Requirements /Conditions
Number of trenches 3
Septic Tank Size c-) ®®
gallons
Exact length of each trench C?
feet Trench Spacing: 91 Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: C- ) D, inches
Maximum Trench Depth of: V�- fit-}
inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -1/4"
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
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: /understand the system type specifed is different from the type specified on the application. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorizatiorrirsabiect._to revocation if-tksite plan, Plat, or the intended use chances. The Construction Authorization shall not be transferred when there is a change in ownershin of the site. This
Construction Authorization is st to comp' rovis the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: QG- Date:
Cons ction Authorization Expiration Date: _
HTE# L)—S 3 " 53 Permit # '�—M53
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: C-po C-,Iq t A
ISSUED TO: '� ��0M6 SUBDIVISION LOT# N5
Authorized State Agent: Date:
M
ho U E..
J
fl
36
G.
GNC 2t Lam) }A) LL or —
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: 1
W Address: Date Evaluated:
Proposed Facility: L,y(,j�.Da^ Design Flow(. 1949):L'1�U ST tl
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation MethoAu er Bor ng ❑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
D th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Q°'t��
5°
Description
Initial
SysteX
Repair System
Other Factors (.1946):
Site Classification (.1948)5
Evaluated. By:
Others Present:
Available Space (.1945)
System Type(s)
5 `'
Site LTAR