IPACHTE# Harnett County Department of Public Health 28798
Improvement Permit
A building permit cannot be issued with only an Improvement Perot
PROPERTY LOCATION: tt 7-cs
ISSUED TO: �Ps ros�t T lGthE� SUBDIVISION LOT #
NEWA REPAIR ❑ EtINSION ❑
Type of Structure: "i�%
Proposed Wastewater System Type: SI -S;`/ a 960,ic so.r"J'
Projected Daily flow: 340 GPD
Number of bedrooms: 36 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: ❑ Community X Public ❑ Well Distance from well ij�) d feet Permit valid for: five years
Permit conditions: c ❑ No expiration
Authorized State Agent: : \ Y Date: --....5 1 al T f SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guannie s ti ince of other permits. The permit hold is re poo!hle for dmcking with appropriate governing bodies in meeting their requirements. This
site is subject ro revoation it the site plan, plat. or the intended use changes. The Ins vrment 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 installaton requirements of Rules .1950, .1957, .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: "i 9 cnG5 PROPERTY LOCATION:�D
�wp SUBDIVISION LOT #
Facility Type: T")gN • 1�c1s ,Fi�a07 New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'FR, No Basement fixtures? ❑ Yes�Jfo
Type of Wastewater System** as'Io Qy�TOJ y5sist(N (Initial) Wastewater Flow: 36C) GPD
(See note below, if applicable ❑)
�7o j`%-0 V C7 \ f) sY -�7--5 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 10o0 gallons Exact length of each trench `7 6 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Y% inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: `1 Feet on Center
Soil Cover: CP 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 system type specified it different from the type specifed on the app/nation. / accept the specification of this permit.
Date:
This construction Authorization is subject to rem if the site plan, plat or the intended use changes. The Construction Aurhmization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is compliance the ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: W&)& S Date: 51 5
Construction Authorization Expiration Date: 11011W
HTE#
ISSUED TO:
Authorized
Permit # Q:Pc5
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
SUBDIVISION LOT #
154
f). Az�c.s 2D
Date: 5 4 1
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SfTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: ? Q9(^ Design Flow (.1949):? -6
Location of Site: Property Recorded:
Water Supply: ` Public[] Individual El Well
Evaluation Metbod: Auger Ling ❑ Pit E] cut
Type of Wastewat� Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
p
.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
IN.
.1956
Sapro
Class
.1944
Restr
Hum
Lj
a
G 5
lvp
b-
s9 L SCL
VI -i- �jw
z
Cj
Qm M
1.\
Q
G
ri
Description Initial Repair System Other Factors (.1946):
Syst9m Site Classification (.1948):''�i
Available Space .1945) Evaluated By:O
System Type(s) as /-c ta Others Present:
Site LTAR • 4- rS . S
'x'10. n„
c,