IPACharnett CountyDepartment
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:s
ISSUED TO: SUBDIVISION iTt� ®MS>� C'1An�Cht� LOT # a3
NEW;' REPAIJi ❑ (PANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SCS t 1 , '`C-�
Proposed Wastewater System T pe: a—S OVC.'S1baa �E�
Projected Daily Flow: 3� GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑May be required based on final location and elevations of facilities
1.
Type of Water Supply: ❑ Community Public ❑ Well Distance from well Y00 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: S Date: t1t I S- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanther 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 T0: � �` — CrC t 'srC s�S C -a PROPERTY LOCATION:
S �� ,� SUBDIVISION o t+� m C� �,,�c� 2 _ LOT #
Facility Type: �� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Baseme�}t Fix es? ❑ Yes No
Type of Wastewater System** �S0I Q --Z\J � e 4 t4 SSS 7 16"INl (Initial) Wastewater Flow: d GPD
(See note below, if applicable ❑)
10(Renair)
Installation Requirements/Conditions
Septic Tank Size gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Number of trenches
Exact length of each trench 1S® feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. `��A —'�% inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: `2L: -o inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 1OFT. 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 specified 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 revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a chanee in ownershia of the site. This
Construction Authorization is subjgs to compliance M4 the p s e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
Authorized State Agent: 335 Date: e—
ConstrucN14uthorization Expiration Date: baQ
SEE ATTACHED SITE SKETCH
HTE# \S-
Permit #
Harnett County Department of PublicHealth
Site Sketch
PROPERTY LOCATON: \a�C®�v�G� CA
ISSUED T0: �! C—z4Q SUBDIVISION LOT #
Authorized State Agent: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: 3S- A_\ Design Flow (.1949):'g60 pj
Location of Site: Property Recorded:
Water Supply:-aPublic❑ Individual ❑ Well
Evaluation Metho Auger Boring El Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
Description Initi 1 jRoTair System Other Factors (.1946):
S s em Site Classification (.1948):-S
Available S ace(.1945) Evaluated By: OX
System T e(s)� l Others Present:Site LTAR
� _'A'vN, q__
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.)Class
6
7Sapro
.1944
Restr
Horiz
,\y
Description Initi 1 jRoTair System Other Factors (.1946):
S s em Site Classification (.1948):-S
Available S ace(.1945) Evaluated By: OX
System T e(s)� l Others Present:Site LTAR
� _'A'vN, q__