IPACHTE# Iia S3f f�] Harnett County Department of Public Health 28781
Improvement Permit
A building permit cannot be issued with only an Improvement Permit {1
PROPERTY LOCATION: Hsi IC -p kL
ISSUED J0: m� H 0 mES �NC, SUBDIVISION V P+Cw,0 N \ LOT # Y-73 REPAIR ❑ HIP�ISION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S V O CH7 n3 6J
Proposed Wastewater System Type: a'czS- o a' �R o 4 S� r
Projected Daily Flow: GPD
Number of bedrooms: '> Number of Occupants: max
Basement ❑Yes �lHo
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 120 C% feet Permit valid for. Five years
Permit conditions: e ❑ No expiration
Authorized State Agent:: \ \w YfS Date: � 1W \ 1 b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o then permits. The permit holder t responsible r 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
Required for Buildjn¢ Permit
The construction and installation requirements of Rules .1950, .1953, .1954, .1955, .1956, .1957, .1958. and .1959 art incorporated by references into this permit and sha11 be met. Systems shall he installed in accordance
with the attached system layout {�
ISSUED TO: N O Mc-`) l N e- PROPERTY LOCATION: I� 6 E2e aoD Z
SF�L3 3a SUBDIVISION ( a:C-.Csn–T LOT# S�
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? �❑ Yes �to
Type of Wastewater System" aS-lb QzsuJCS t cs,J (Initial) Wastewater Flow: 3-(—O GPD
(See note below, if applicable ❑) n �
a 3 7� ,SGP , S -Y . (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t O gallons Exact length of each trench 5o feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ani inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: J Feet on Center
Soil Cover. IZa-L) inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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: / ondetstand the system type spedhed it different from the type specified on the applicadon. / accept the specifications of this permit
Date:
This Construction Authorization is subject to revoan a 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 subieei comoliance wit mows s and Rules for Semwe Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ��� �� � � Date: L,
Construction uthorization Exoiration Date:
HTE# --? Permit # J!�—n
Harnett County Department of Public Health
Site Sketch (�
PROPERTY LO(ATON: �C-K%) G64 oo0 + ez
ISSUED TO: COMES SUBDIVISION UFOnoNT� LOT # ?7
Authorized State Agent: ljS �u�6rt fO�r J�Date: �I ?$IV;
w C5
D ?
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1i6P�11a«w�et0 D2
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: -3 6Pr''r'n Design Flow (.1949):�A'o `]4�
Location of Site: Property Recorded:
Water Supply:Public❑ Individual ❑ Well
Evaluation Method, Auger Boring ❑pit F-1 cut
Type of Wastewater: -_-�W 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
wemess/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
S
ti sz'>k
C 5 Z
rpt �.�
S,
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):5/
Available Space (.1945) Evaluated By: Q"\
System Type(s) Others Present:
Site LTAR
3x5c"@ ak+ -� 30