IPACHTE# t 6- Harnett County Department of Public Health 2879
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Uecs Q,D
ISSUED TO: �� cs= 16 ova u E SUBDIVISION n AV tc (:S ,7N LOT # 1'17
NEW REPAIR9 FY`pANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFO C0;;
•�
Proposed Wastewater System Type:— ds% GiEwGv off &m
Projected Daily Flow:
Number of bedrooms:,
Basement []Yes
Pump Required: []Yes
Type of Water Supply:
Permit conditions:
GPD
Number of Occupants: max
24o ❑ May be required based on final location and elevations of facilities
Community Public ❑ Well Distance from well lua O feet Permit valid for. Five years❑ o expiration
Authorized State Agent.: ��\ Date: ---1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss of other permits. The permit holder is resp nsible for checking with appropriate governing bodies in meeting their requirements, This
site is subject in revocation if the site plan, plat or the intended use changes. The Imps ent Permit shall not be affected by a change in ownership of the site. This permit is subject in compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .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 TO: \A—)r" C,0-A5_'S`• csr �A7Gt�vsLLE PROPERTY LOCATION: LJOc6 9
�� 14 ,x SUBDIVISION O A`Y-SyoN'V LOT # 1 cls
Facility Type: O S LJ) SUBDIVISION
New ❑ Expansion ❑ Repair
Basement? ❑ Yes "f!( No Basement Fixtures? ❑ Yes No
Type of Wastewater System** "'i c2 sG ,, syJ Ern (Initial) Wastewater Flow: 410 GPD
(See note below, if applicable ❑)
ct%S®�v
KCSJ. 515.
(Repair)
Installation Requirements/Conditions
Number of trenches -
Septic Tank Size L60C9 gallons
Exact length of each trench feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of 1@ a"A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs.
GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. ( '–a 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 sr iDem type specified is different from the type specified on the app/iration. / arrept the fpedfeationr of this permit
Owner/Legal Representative Si nature: Date:
This Construction Authorization is subject to revo he In, 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 sa�e►� compliance the p he laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: R41 Date: "
ChNiatuction Authorization Expiration Date:
HTE # 1 5 ' 3��1 7$ Permit # a�� I )
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: .0OC.
ISSUED T0: H " w - Ge tY iu-G SUBDIVISIONP Y,Xt o�T 1 1 LOT # \ ��
Authorized State Agent: �5 l w otvSa�C15 Date: t }rl ayAl-6
aoo
IOS
1-1EwMc;12 j0oD oQ,�vG
11)
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: 11 (h ILA Design Flow (.1949): Ll`L O�td
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
d: Evaluation Method: Aug Bo mEl Pit Cut
Type of Wastewater: ewage ❑ 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
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
p
a
o-�6
G s
v���vP
5 •�
3
o-��
G 5
vRl,,.tslve
S.g
Description Initial/Repair System Other Factors (.1946):
phi
S st Site Classification (.1948):5
AvailableS ece(.1945) \ Evaluated By:G*l�
System Type(s) Z S 0 Others Present:
Site LTAR ._6