IPACHTE# �� ��`357 Harnett County Department of Public Health 28184
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
l , ` PROPERTY LOCATION: O '4 CSL>�11:R 5
ISSUED T0: SG-tyMF�G��2 T1c�c�,5 c `V� SUBDIVISION LOT #
NEOK REPAIR ❑ 1
ANSION ❑
Type of Structure: °`=>FO �. 15
Proposed Wastewater System Type: �—(Cfrlo RCnVC.i urt Sys M
Projected Daily Flow: �'%d GPD
Number of bedrooms: ) Number of Occupants: 91 max
Basement ❑Yes ANo
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 X Public ❑ Well Distance from welly Li a feet
Permit conditions:
Permit valid for:
XyFive years
❑ No expiration
Authorized State Agent:: Date: Q� I 6 115 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu they permits. The permit holder is resp'nsible 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 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
Reouired for Buildinfr Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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: �CaA V C'e, �nsl h11 11Y NC-"' PROPERTY LOCATION: C�)y &ZA 1U->
SUBDIVISION — LOT # �--
Facility Type: ���n'-5 l, New ❑ Expansion ❑ Repair
Basement? ❑ Yes "19, No Basement Fixt es? ❑ Yes 'ISVN�
Type of Wastewater System** �'�� ovc,�t > cJ� YS (Initial) Wastewater Flow: _ GPD
(See note below, if applicable ❑) ,
o IF- CnV�; f ct (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size t oCOco gallons Exact length of each trench
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench De th of- Q673--3-()
Pump Requirements: ft. TDH vs.
Conditions:
p
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: 9 Feet on Center
Soil Cover. $ —l=�, inches
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 IOFT. 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 speciped is different from the type speciped on the app/ication. / accept the specifications of this permit.
Owner/Legal Represent Si nature: Date:
�
This Construction Authorization is subject to revoca the site pl 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 subl e wit compliancprovisi ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: a 6
Construction horization Expiration Date: a 6 ta-O:
HTE# 'S
Harnett County
Permit #
Department of Public Health
Site Sketch
PROPERTY LOCATON: v
ISSUED T0: SUBDIVISION
Authorized State Agent:
1cl /
MCLS �ZQ
LOT #_
Date:
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: t 30U"" Design Flow (1949):L OR()
Location of Site: Property Recorded:
Water Supply: _Aa�ublic❑ Individual ❑ Well
Evaluation Metho Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: �_QISewage E]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
F_
Description Initial R pair System Other Factors (.1946):
S ste Site Classification (.1948}
Available Space (.1945) Evaluated By.
System Type(s) _5_77Others Present:
Site LTAR