IPACHTE#is ,s=,7c-•7-73 Harnett County Department of Public Health 28427
Improvement Permit
A building permit cannot be issued with only an Improvement ermit
�^ PROPERTY LOCATION:
p
K 0f, - H ��� 'ed
ISSUED TO• �c�ry Fc -+s q m SUBDIVISION LOT #
NEW [Wr REPAIR ❑ , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -JF 0 217
Proposed Wastewater System Ty e: v ^ � � � S- ;, ��u� f e" .ryl� r -
Projected Daily Flow: 1i� O GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Ye�ss Z'No C Yes
Pump Required: ❑ No ❑ May be required b ed on final location and elevations of facilities
Type of Water Supply: El Community El Public Well Distance from well /®d feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: d /lJlZc/3' SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health 6epartment in n way guarantees the issuance of other 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
Reouired 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: t 1a, r`/4 /C_^ vc, l�• /%° l�J'R1) PROPERTY LOCATION: 16ef1'•e.
1 SUBDIVISION LOT #
Facility Type: LJ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** &3!iA o2 S—% ,-eav 4 (Initial) Wastewater Flow: V60 GPD
(See note below, if applicable ❑)
,Ce -@1J c,.t(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /000 gallons Exact length of each trench 70 feet Trench Spacing: Feet on Center
Pump Tank Sized/ 0 0 gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: /cZ- 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
Condition -� c 1�0.1'�✓�Lty� to rsee+ °r" i= r�- ��"/ ''� � f Xe,-- inches total
{v tp� '•t�.frea 0 -b^':' 4" "' c> v
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. f °'r
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l 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 Cnnctrurtinn Authorization is subject to revocation if the site nlan. olat or the intended use changes. The Construction Authorization shall not he transferred when there is a chancre in ownership of the site. This
Construction Authorization is subject to connfiiae7 with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this ermit SEE ATTACHED SITE SKETCH
C r
Authorized State Agen . Date:
Construction Authorization Expiration Date: /•:7 :z (JZ20
HTE# CS =S-31 %W Permit # a8 ` 00
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 1"J%✓' ?d
ISSUED T0:c.c /Z^ fa. �, jLl,t Vc SUBDIVISION LOT #
Authorized State Agent: Date:
w
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 Wel]
Evaluation Method: Auger Bori g El Pit
❑Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ 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
.1942
Soil
Wetness/
Color
1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
c
/
/ Cr
, %Mineralogy�p
YJ
_50
jdl, fcl
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): 1�%
Available Space(. 1945) Evaluated By: iP--
System Type(s) Others Present: 07—
Site LTAR 5