IPACHTE# ) Q�_`J call, Harnett County Department of Public Health 28792
Improvement Permit
A building permit cannot be issued with only anI�mpprovement Peegmt
\ PROPERTY LOCATION: 5CoC,��
9
ISSUED T0: N " i'� av5> • c5��p`) G—cid SUBDIVISION DA ,s -r 0 rT,- LOT # 17
NEWX REPAIR 4 _ EXP ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S C--9 `5a• x 24 2y'
Proposed Wastewater System Type: aS'!o obPv s b ,r "/3tEvr�
Projected Daily Flow 1_4<1,0 GPD
Number of bedrooms:�mber of Occupants: ob max
Basement []Yes '*�eNo
Pump Required: ❑yesNo El May be required hazed on final location and elevations of facilities
Type of Water Supply: 11 Community Public ❑ Well Distance from well 1 OU feet Permit valid for. ,Five years
Permit conditions: ❑ No expiration
Authorized State Agent: , F`a� Date:1e S SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu other permits. The permit holders respons le for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it 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 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. cc��
ISSUED TO: ""A Cc7N—A • oT'iL—:—\C. PROPERTY LOCATION: Q 0c,5140
SUBDIVISION C') A,L�6,J', LOT # t1
Facility Type: `�Cp C5a n U L New ❑ Expansion ❑ Repair
Basement? ❑ Yes N No Basement Fixtures? ❑ Yes XNo ♦'
Type of Wastewater System" �SJ'�o VGUv C;� I a N 'SGM (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
2 S°!•
V_e.o- Sym (Repair)
Installation Requirements/Conditions
Number of trenches I
Septic Tank Size t O C) C' gallons
Exact length of each trench --14C feet
Pump Tank Size gallons
Trenches shall be installed on 5Con�uffIr at a
Maximum Trench Depth of: CW-W.4c inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: —I Feet on Center
Soil Cover. ro inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 rystem type rperiled is different from the type spealed on the application. l accept the spealcadom of this permit.
Owner/Legal Representative
Date:
This Concoction Authorization is sub( cation if the sin plan, pll or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. Thu
Construction Authorization is su6Lect to compliaAlwtit 'tions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
_thspuction Authorization Expiration Date:
HTE# �i "�J 3���Ci Permit # an 1a
Harnett County Department of Public Health
Site Sketch {�
PROPERTY LOCATON: floes �-O
ISSUED TO: N �i O� �' C hl^ SUBDIVISION C)Pu,,0 ` LOT #
Authorized State Agent: ll5 `pU4cQ l0",-5vQDate: 'A1a,-A
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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:4�tGCO'�� Design Flow (.1949):I4Q)
Location of Site: Property Recorded:
Water Supply: PublicIndividual ❑well
Evaluation Method:u/ger Bo ng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial 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
Consistmce
Mineralogy
.1942
Soil
Wetneas/
Color
.1943
Soil
Depth
.1956
Sapro
Class
.1944
Restr
Honz
1_5
wo,N�A?
1►�516
es
a6r
�M
Description Initial Repair System Other Factors (.1946):
System, Site Classification (.1948
Available Space( .1945) Evaluated Bycrl�
System Type(s) Others Present:
Site LTAR