IPACHTE # 15'5-35-3A Harnett County Department of Public Health 28178
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
` N PROPERTY LOCATION: Gi'
ISSUED TO: C�4 �>' E -(L SUBDIVISION LOT #
NEW)' REPAIR ❑ EXPANSION-,
Type of Structure: M P1rt VA o � Qom$ l
Proposed Wastewater System Type: `a -"W o � v�;
cA a t'I
Projected Daily Flow: 2E,® GPD
Number of bedrooms: 31 Number of Occupants: max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well tbQ feet Permit valid for. XFive years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: N I --I 1I lS SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance f Qher 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 Improvement 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 TO: \At--,Q,9FtL PROPERTY LOCATION: C' 1P S
SUBDIVISION "—y- LOT # �-
FacilityType:��csM�Cax�a� New ❑ Expansion ❑ Repair
Basement? ❑ Yes ';Se, No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** 3-5'[ 0 Q - y Q7>>0 ;,J SYS Gr1 (Initial) Wastewater Flow: 3 Q0 GPD
(See note below, if applicable ❑)
a'��°/a �Z-CzUL7\Cy,J (Repair)
Installation Requirements/(onditions Number of trenches Li
Septic Tank Size j g� c!-) <D gallons Exact length of each trench GO feet Trench Spacing: � Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: C, -`� inches
Maximum Trench Depth of. 11 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
Aggregate Depth:
Conditions:
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 typepacified is diNerent from the type specified on the app/ication 1 accept the rpecificationr of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is su le cation if th a 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 iscompliance w io the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: fza5 Date: �S
Constr on Authorization Expiration Date: a
HTE# 1 53531' i Permit # M�
Harnett County Department of R-tblic Health
Site Sketch
PROPERTY LOCATON: C— 1 'Z)—, &-,,I
ISSUED TO: SUBDIVISION LOT
Authorized State Agent:Date: t1 A
MW
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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 Design Flow 1949):' .
Proposed Facility: � 3cy�.�n g ("
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method} Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: T 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
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
J
/�.
(\''
`1 (M�ineralogy(�
1 1
10
(D _..A
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):P S
Available Space (.1945) V Evaluated By: (;
System Type(s) `%TZ5 Others Present:
Site LTAR LA JA
C C. f -Z ac