IPACHTE# N4-S-3q-_�oD Harnett County Department of Public Health 28160
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�^ PROPERTY LOCATION: L -k -e.. CO u rJ,Y �A" E
ISSUED T0: Ct�,ccL s�.SKStLOA SUBDIVISION LOT # 3
NEW >� REPAIR ❑ t EXPANSION
Type of Structure: M N 1A0s�£
Proposed Wastewater System Type: `�'1 o
Projected Daily Flow: `3 G C-5 GPD
Number of bedrooms: .�._' Number of Occupants: C, max
Basement ❑Yes 'ANo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes _'J�oo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well I CQ feet
Permit conditions:
Permit valid for:
)Five years
—< No expiration
Authorized State Agent:: Date: S i i S b, 1 f- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Departmen in no way guarai t 'ssuance of 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. ie� Rrovement Permit 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 T0: es�� GA���aCA� PROPERTY LOCATION: lZ�G,ut- i i L,NC
SUBDIVISION LOT # -�
Facility Type: 1 1 rA j V', r1 NNEL�yr"1 >\New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yeso
Type of Wastewater System**1 d uc:: ) v ,,,t (Initial) Wastewater Flow: 3�� GPD
(See note below, if applicable ❑)
SysS I r, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1� C) G gallons Exact length of each trench __19 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of:M - ;9:)— inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: I Feet on Center
Soil Cover: (,-, -la inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
_ inches total
**If aplicp able: /understand the system type specified is different from the type speciTed on the app/ication. / accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is s revocation if 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 su ' Ct to com w�itTi t_'_ �s 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: I T
onstr n Authorization Expiration Date:
HTE# Permit # '�i 40
ISSUED TO:
Authorized
Harnett County Department of Public Health
Site Sketch
PRnPGRTY I(VATOM
-L LIN
LOT #
Date: i 1)'�
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: a' 43���s Design Flow (.1949):3
Location of Site: Property Recorded:
Water Supply: p�Public❑ Individual ❑Well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage F1 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
So
Depth (IN.)
—
.1956
Sapro
Class
.1944
Restr
Horiz
15
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):
Available Space (.1945) Evaluated. By: Of
System Type(s) S fr Others Present:
Site LTAR ;L�