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IPACHTE # 1 L+ -oC\ Harnett County Department of Public Health 28161 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: L-A ISSUED TO: o u s-� - cFi�.r }ra c. SUBDIVISION ��rLC-T-3 LOT # S f NEVP< REPAIR ❑ E) NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System T e:9--.ZvC.> >ctss -:15 Projected Daily Flow: �� GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes >eNo Pump Required: []Yes X No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well L ®® feet Permit valid for ive years Permit conditions: ❑ No expiration Authorized State Agent:: 2—!S��*�� X15 Date: " SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuan Cher 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 Improvemen mit 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 (Retired 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. n ISSUED T0: 5Q �� ®,r i ti C, PROPERTY LOCATION: ' )n -;>,\2\g- 1.-t-) SUBDIVISION --Ta d-,-rC.W5 ft-JFT= LOT # Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basemen Fixtures.? El Yes XNo Type of Wastewater System** �.S �� (Initial) Wastewater Flow:d GPD (See note below, if applicable ❑) ' �.S-aZd 0 v C, i t d JJ (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size 10 (DO gallons Exact length of each trench t 8® feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: aLA `-33N inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: Feet on Center Soil Cover: SDL' a) 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: I understand the system type speciped is different from the type specified on the application. /accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to ion if the an, 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 surly compliance the ions Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: ti 13 Co ruc Authorization Expiration Date: HTE # I 'L-A — 5— 1 Ll O�O 'A Permit # M� � i Harnett County Department of 11�iblic Health Site Sketch PROPERTY LOCATON: LN ISSUED TO: Scs v - fir, C, -SUBDIVISION LOT # Authorized State Agent: Date: 11-4,- 1 y_Tl - '- - - M_ 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: 5 C)©R5ZC" Design Flow (.1949): 36G Se, Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method: Au Bort g ❑ Pit ❑Cut Type of Wastewater: ewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Other ❑ Mixed 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 2 036 G Si_NF1 N'5lv-e Description Initial Repair System Other Factors (.1946): S s m Site Classification (.1948): Y Available Space (.1945) Evaluated. By:() System Type(s) Others Present: Site LTAR