IPACNTE# �6'S-3193`� Harnett County Department of Public Health 28650
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: \4,06raat \1 Py
ISSUEp T0: uFAV6R. i�or�G� )—L -C. SUBDIVISION 11lOMs�h Ms;v"CK . LOT #
NEW3�! REPAIR q EXRA�ISION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `3�0 \69�n�],' )
Proposed Wastewater System Type: 4'u mo"Ta '19"o V£DUclSao r.e
Projected Daily Flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes XNo
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 well feet Permit valid for. XFive years
Permit conditions: ❑ No expiration
Authorized State Agent: > 1� Date: d l4, 1 b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t e ce of other permits. The permit holder is reapo Bible hr checking with appropriate governing bodies in meeting their requirement. 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 m compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and ro conditions of this permit.
Pump Requirements: ft. TDM vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified it different horn the type specified on the application. l accept the spedi6crtions of this permit.
Date:
This Construction Autlmrintion is subject to re
on if the site plan, pla, or the intended use changes. The Construction Authorisation shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is gtbjaq to comp1 nae with ion, of the Laws and Ruffs for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: DaL Date: ?
"tilmstruction Authorization Expiration Date:
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .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 T0:
to x�S L—t—C PROPERTY LOCATION: \A oGG—a s✓ W Py
_VC4.yC-A,
SUBDIVISION "S-ach9as MParaa(L LOT #
Facility Type: SFp�6g"�a� xNew ❑ Expansion ❑ Repair
Basement? ❑ Yes `� No
Basement Fixtures? ❑ Yes _>4,,No
Type of Wastewater System**
Ov m e —7o 9 S'l o (60 u c s N 114 S-1 t (Initial) Wastewater Flow: 3 y GPD
(See note below, if applicable ❑)
nn
1' v 1 ra �L�� 9
mQ -JM (Repair)
Installation Reauirements/Conditions
Number of trenches
Exact length lSC7 feet Trench Spacing: Feet on Center
t 0
Septic Tank Size 0 C)
gallons of each trench
�11__W_Inches
Pump Tank Size t oay
gallons Trenches shall be installed on contour at a Soil Cover,
Maximum Trench Depth of: )1'30 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. TDM vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified it different horn the type specified on the application. l accept the spedi6crtions of this permit.
Date:
This Construction Autlmrintion is subject to re
on if the site plan, pla, or the intended use changes. The Construction Authorisation shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is gtbjaq to comp1 nae with ion, of the Laws and Ruffs for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: DaL Date: ?
"tilmstruction Authorization Expiration Date:
HTE# I (=,— 5 - 3� `rbG Permit # -N6slJ
Harnett County Department of Public Health
Site Sketch
``� PROPERTY LOCATON: W I Ove- NP
ISSUED T0: YET LLC, SUBDIVISION 71-10,ff"PY5 O.NOQ- LOT #
Authorized State Agent: '", �L`N&Lct'oLr_SooSb Date: a.J 141r.
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant
Address: Date Evaluated: `
Proposed Facility:"' Design Flow (.1949):Property Size:
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method:0-1Auer Bo 'ng F1Pit El cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
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F
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#
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
Rent
Horiz
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Description E k1nitialRepair System Other Factors(.1946):
Site Classification (.1948):$f
Available S ce(.1945 Evaluated ByS stem T s // cl(- Others Present:
Site LTAR