IPACHTE# Ile:, -5-31'1 3 Harnett County Department of Public Health 286/19
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 0L� SM
ISSUED T0: SUBDIVISION I LOT # 1
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: sC
SJR N15 2
Proposed Wastewater System Tzzp�e: 20�'I a Qsouca ic,ysTb,r�
Projected Daily Flow:
D GPD
Number of bedrooms:
C} Number of Occupants: �ia max
Basement []Yes
e 0
Pump Required: ❑Yes
❑ No �:K May be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community _32K Public ❑ Well Distance from well CDC) het
Permit conditions:
a
Permit valid for. Five years
❑ No expiration
Authorized State Agent:: -e aj-'s Date: it CCI 16 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaranissuana of other pennin. The permit holder respo sibk 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. rovement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisiam of
the laws and Rules for Sewage Treatment and Disposal and to continuous of this permit.
Construction Authorization
(Required for Building Permjtl
The construction and installation requirements of Rules .1954 .1952, .1954, .1955-19S6, .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: Jo oTi�ve—j�pyu72 PROPERTY LOCATION: Opo \Yn'la l
SUBDIVISION LOT # I
Facility Type: s�'9 �(o 5 J New ❑ Expansion ❑ Repair
Basement? ❑ Yes �No Basement Fixtures? El Yes XNo
Type of Wastewater System" 2 snl Rez)vcpt s o su Sys ��>^ (Initial) Wastewater Flow: e+`(O GPD
(See note below, if applicable ❑)
co
(Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size L OAU gallons
\
Exact length of each trench 30 V feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. a A -A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFL FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
*`If applicable: / underrtand the ryrtem "e fpeciled is different from the type rpeciled on the app/icabon. / accept the rpeti6rationr of this permit.
Representative Signature:
i1 the site plan, plat, or the intended we
Date:
not be transferred when there is a
Construction Authorization is s c1 to compliant a provisinffof the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: q6ta, Date: Z I' -t
Con Authorization Expiration Date: �J 1
HTE# 16 - 5-3-' `'%
Permit # 2�-1(o '-�
Harnett County Department of Public Health
Site 'ketch
^t- PROPERTY LOCATON:
ISSUED TO: �IU�I AGiPJ _rP �2 SUBDIVISION �' LOT # Y
Authorized State A¢em Il[f 5 �o�wE�`TVwssbClF�
Date: a \
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:.a-� Date Evaluated:
Proposed Facility: Lql -JOQ.� 1 Design Flow (.1949): 1
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Au er Bo ing ❑ Pit ❑ Cut
Type of Wastewater: gq Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineriflogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
1-5
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y) -A
�5
D-
oa-N
`�3,cc Gu
i; -,-L �> i�
I v
li,
Q -1-3
G s
vc� ,INP
scL—
1
Description InitialRepair System Other Factors (.1946):
S ste Site Classification (.1948):
Available Space (.1945) V Evaluated By:a \
System Type(s) 5'l P Li Others Present:
Site LTAR .4