IPAC RHarnettCounty Department1 Public
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Improvement Permit
A building permit cannot be issued with only an Improvement Permit (�
PROPERTY LOCATION: Po r,aEn_05 s', 1G:)
ISSUED TO: Cu m _\O YNc SUBDIVISION CP a,Q_c ., e" LOT #
NEW REPAI ❑ €�(PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: s � Q5-2 n�1�
Proposed Wastewater System ,T,YYpe: 2,So10 uca< t t3 S '
Projected Daily Flow: 3 b� GPD
Number of bedrooms: 3 Number of Occupants: �' max
Basement ❑Yes No
Pump Required: ❑Yes _Z�<No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community "< Public ❑ Well Distance from well LD O feet Permit valid for: ,Five years
Permit conditions: . S\ ❑ No expiration
Authorized State Agent:: \� v Date: -)-13 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance to ermitr. The permit holder is res onsible 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: cvMec-z--Ae,ND \AGmeZ-, �N C. PROPERTY LOCATION: Pic) No 1-05A
SUBDIVISION CPN2ot_i E3af->QN5 LOT #
Facility Type: S �S 7 -�L �_70 New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fix es? ❑ Yes ❑ No
Type of Wastewater System** a5�1 ��.� G _)-JS �/5 ' E.i�_ (Initial) Wastewater Flow -
(See
GPD
(See note below, if applicable ❑) _
P v P i Q ci -S V o e—ED (Repair)
Installation Requirements/Conditions Number of trenches Q -
Septic Tank Size L ® ® d gallons Exact length of each trench -7 5 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. �'% a l inches
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: ( la 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 ]OFT. 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 speciled 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 revo ' 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�e_�-mpliance with r '' ns 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: z 13 ) )5�
on Authorization Expiration Date: Q 3 IQ&
HTE # ��-- �C51 ► �Z-
Permit #
Harnett County Department Health
Site Sketch
PROPERTY LOCATON: �O iv aSfl
ISSUED T0: �+J� �`��- SUBDIVISION ��L�N� SC-o}�5 LOT # 5
Authorized State Agent: Date: a��T�
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:IV
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Z Public❑ Individual ❑ Well
Evaluation Method: Auger Borig ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
0
F
I
L
E
#
.1940
Landscape Horizon
Position/ Depth
Slope % (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
�+
%Mineralogy
Q � �
rT
lllrrlt�')e
Description Initial Repair System Other Factors (1946):
S ste Site Classification (.1948):
Available Space(. 1945) V Evaluated By:
System Type(s) Q Others Present:
Site LTAR li