IPACHTE# I -5 Harnett County Department of Public Health 28520
Improvement Permit
A building permit cannot be issued with only an Improvement Perm
PROPERTY LOCATION: %- is N
ISSUED T0: e z 2 c�,�` � 0 s �C� SUBDIVISION PM 0 .ta 'n" LOT # �
NEW'X REPAIR El � �3 XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: TQ�
Proposed Wastewater System Type: PUMP-�-Q W1a- QC,S)aJQ
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: �' max
Basement ❑Yes �s'No
Pump Required�T2514es `❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply. Public ❑ Well Distance from well feet Permit valid for: Five years
Permit condi 'ons: ❑ No expiration
Authorized State Agent:: Date: 4g 1'6 ,` SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan her permits. The permit holder is res 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 Improveme mit 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: 1L `�-�-��� ��m� PROPERTY LOCATION: ' TV 6��
SUBDIVISION 9F`5740 N5 o -t LOT # "=LFacility Type: 3� � New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ vYles No
Type of Wastewater System** CSU m P ! o Cz>NJ 0. t G tJ15; C �^ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
.{,-,e a ag/ I
yU(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size trb 0 d gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench Com feet
Trenches shall be installed on contour a a
Maximum Trench Depth of. 3 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacjn : Feet on Center
Soil Cover: i -"-� inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: l 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 Authorizati sect to revocation 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
the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: Date: V
ons 'on Authorization Expiration Date:
M
SEE ATTACHED SITE SKETCH
HTE# Permit # a' 5 D-0
Harnett County ]Department of Public Health
Site Sketch
PROPERTY LOCATON: V, 0 6 CN
ISSUED TO: SUBDIVISION LOT # 2a
Authorized State Agen�tv�—Date: 6-
7\�/ CAI,06L IXL.
M,
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: tom` Design Flow (.1949):`2
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Methoduger Bo ' g ❑ Pit ❑ Cut
Type of Wastewater:ewage ElIndustrial 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
C =
- W)
R-5.5-:;_
Description Initial Repair System Other Factors (.1946):
system/ Site Classification (.1948):
Available Space(. 1945) Evaluated By: C>
System Type(s) Others Present:
Site LTAR ,b' ,