IPACHTE#)S-S"'5SC57)�� Harnett County Department of Public Health 28306
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: cJ �Z
ISSUED TO: L..C'I1 t>"' rJCL V mr-5 SUBDIVISION LOT #
NEVIIK REPAIR ❑ EXPANSION ❑
Type of Structure:��
Proposed Wastewater System Type: �!`%n VGoJcs: o N S-> ,
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes :K No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes . KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well V00 feet Permit valid for: (,Five years
Permit conditions: — ❑ No expiration
Authorized State Agent:: �\� �+ '`► �~� Date: '3 1 ,) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu er permits. The permit hol er is re ponsible 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 lmprovemen 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.
ISSUED TO: ��c c� A ,0 -L \AOt' c6 PROPERTY LOCATION: In c,LG0D
SUBDIVISION — LOT # A
Facility Type: UD � 'ct—A New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fi tures? ❑ Yes XNo
Type of Wastewater System** `a�alc� wC.��as� ��5� (Initial) Wastewater Flow: �f-® GPD
(See note below, if applicable ❑) /
-D.Z�:��`y Q,Ci�'vCs(Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size 0 CO gallons Exact length of each trench "75 feet Trench Spacing: 1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: C lei inches
Maximum Trench Depth of: aL-i 3b 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: 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: /understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Represent ive Signature: Date:
This Construction Authorization is subject to r ion if the si n, 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 su**, o compliance the ions 'nthie, Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: � " Q&6 Date: 3 WL )~S
Constr n Authorization Expiration Date: 3 S 6
HTE#
Permit # a4�0C
Harnett County Department of Public Health
Site Slietch
PROPERTY LOCATON:
ISSUED TO: Y�Q r, -N& SUBDIVISION LOT #
-4� 1-91vw Date: v�,
Authorized State Agent: (-,- L
C"C
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):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method�NAuger Boring ElPit El
Type of Wastewater: "� Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
Cut
❑ 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
�Ya
O,6
GSL
"�)'-JQ
D
Y. K
5c�
�5
Description Initial R air System Other Factors (.1946):
SysteA Site Classification (.1948)
Available Space (.1945) Evaluated By6�
System Type(s) to Others Present:
Site LTAR