IPACHTE04-5-'Y-f`�1 Harnett County Department of Public Health
fi
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
t PROPERTY LOCATION: 5
ISSUED TO: L (3 ra N1E.. c } }Q `�y�Ut�SO '�4 SUBDIVISION LOT #
NEWS'; REPAIR ❑ EXPANSLQN 11Type of Structure: V4 am5--U—) .X �S "
Proposed Wastewater System Type: C.o,v,t6-4: , ON;b,%L.
Projected Daily Flow: 2,-4 O GPD
Number of bedrooms: 23, Number of Occupants: _max
Basement [--]Yes ><No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes �lo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �X Public ❑ Well Distance from well � feet
Permit conditions:
Permit valid for:
XFive years
❑ No expiration
Authorized State Agent:: ���Ci f<�� Date: ��3) 19 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu her 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 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
1
ISSUED T0: L_ortes,L G}��,sUs,, PROPERTY LOCATION:
Facility Type: 1 -lot -C �)--) XC
Basement? ❑ Yes -121� No Basement Fixtures?
Type of Wastewater System** C N v &'jT 1 0
(See note below, if applicable ❑)
SUBDIVISION LOT #
New ❑ Expansion ❑ Repair
❑ Yes XNo
rte► A L—
r+-v 10.N!>, L- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1 o a O gallons Exact length of each trench ' l)'O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Y'l 3-(o inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: Q,� d GPD
Trench Spacing: 1 Feet on Center
Soil Cover: G" 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 applicable: /understand the system type speciled is different from the type specified on the app/icatiom / accept the specifications of this permit.
Owner/Legal Represei Date:
This Construction Authorization is subject to f the ' Ian, plat, or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is sub compliance wi e s he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: v�V 'ry }� Date: _
Co tion Authorization Expiration Date:
HTE# V1 --N — 5 _ � b Permit # a-%\ � S
Harnett County Department of Niblic Health
Site Sketch
RPROPERTY LOCATON:
ISSUED T0: r i CJI >(Z �4AUBDIVISION LOT #
Authorized State Agent: :lCbL�V�1 "Cd�YSi�}� Date: k� � I ) L)
LC�06`�
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)2c :Z Cj.5
Location of Site:Property Recorded:
Water Supply: 'jublic❑ Individual ❑ Well
Evaluation Method:[] Auger Boring it ❑ Cut
Type of Wastewater: ewage 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
j--
3az c
sS] q
P�
Description Initial Repair System Other Factors (.1946):
system/ Site Classification (.1948): P.S
Available Space (.1945) Evaluated. By:<Z:j
System Type(s) V I Others Present: o
Site LTAR � 3