IPACHTE# IS 537653 Harnett County Department of Public Health 28756
Improvement Permit
A building permit cannot be issued with only an provement Permit (y
ISSUED T0: M vV� PROPERTY LOCATION: t) PZtZt � 0cL(� VJJ
s ct-\ear-.` t ra '% ss40 SUBDIVISION LOT #
NEW REPAIR ❑ EVfANSION ❑
Type of Structure: Meav �c•.E \Y LI A-5 �Z
Proposed Wastewater System Type: '1.5"/0
Projected Daily Flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well X00 feet Permit valid for. IX Five years
Permit conditions: ❑ No expiration
Authorized State Agent: :! h5 Date:3 u 16 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan Cher 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 Improvem"FiN,111211 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, .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: In a CU-) CSL PROPERTY LOCATION: C'yPWG5 GA Va0g RD
(�(a SUBDIVISION
Facility Type: \ eP1 )AocnC. �I4 �� New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'X No Basement Fixtures? 11 Yes %� No
Type of Wastewater System** 9-S—/o SV,9 U G� P v S 754 6M (Initial)
(See note below, if applicable ❑) ) ��
�S °,c ,- C— • s (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size T o act gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1$ -aZ� inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
LOT #
Wastewater Flow: 34 6 GPD
Trench Spacing: 9 Feet on Center
Soil Cover: 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: / understand the spsem type specified it different from the type specified of the application. / accept the specifications of this permit
This Construction Authonz&,
construction Authorization is
Authorized State Agent:
r the intended use changes The construction Authorization shall not be tmnshr,
Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
T%SS Date:
Cons ction Authorization Expiration Date: _
Date:
a change in ownership o1 the site. This
SEE ATTACHED SITE SKETCH
HTE# 15-5'376S3
Harnett County
Permit #
Department of Public Health
Site Sketch
PROPERTY LOCATON Cyp26ss C�' v2C.11 '(..C)
ISSUED TO: Y�1_, U AG t.- nc:1—��"C- SUBDIVISION
Authorized State Agent: n(Ia5 `aLrvt?t 5otx�
Date: 3 2
� T.
LOT #
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 El Well
�r�,
Evaluation Method: �] Au
aBoKng E] Pit ❑ Cut
Type of Wastewater. `
14 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
Mineralogy
.1942
Soil
Wemese/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
0
G
Q�
l,-
Q,
3-36
Six s t
5�1'P
SSs�C �c
t� s 3i
V 3�y
Description Initial Repair System Other Factors (.1946):
Systew Site Classification (.1948):
Available Space (. 1945) j EvaluatedBy:O\
System Type(s) 25 l _ Others Present:
Site LTAR