IPACHTE# 1(�-5--3:4VbA Harnett County Department of Public Health 28734
Improvement Permit
A building permit cannot be issued with only an Improve—ment Pepgit
QQ PROPERTY LOCATION: S Ssb 'rl
ISSUED TO: �SmcTSSly i>C4 O SUBDIVISION LOT #
NEXX REPAIR 4 EXn11ON ❑
Type of Structure: M 09 `�6
Proposed Wastewater System �Type: �S*/, V Wisest riff
Projected Daily Flow: 5G O GPD
Number of bedrooms: 775 Number of Occupants: L max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Ye o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community —Ja<Public ❑ Well Distance from well 10 O feet Permit valid for Ivive years
Permit conditions: ❑ 110 expiration
Authorized State Agent:: 1a5 Date: S T`T 1 b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu f other permits. The permit holder is resp risible 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 t Permit shall not be affected by a change in ownership of the site. This permit is subject ro compliance with the provisions of
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permitl
The construction and installation 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 T0: c11Mr»� S �atow..1 PROPERTY LOCATION: 7Ztr55f�
SUBDIVISIONLOT #
FacilityType: c'p L�� xa� �� New 11 Expansion ❑ Repair T
Basement? El Yes 'R No Basement Fixtures? ❑ Yes No
Type of Wastewater System** as 1 o (Initial) Wastewater Flow: 3(,G GPD
(See note below, if applicable ❑) S
" `� I c
W -.GP • -4� (Repair)
Installation Requirements/Conditions
Number of trenches 44
Septic Tank Size t 6 0 C) gallons
Exact length of each trench 4b feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: ifot inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs.
GPM
Conditions:
Trench Spacing: I Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
**If applicable: / understand the system type specibed is different hom the type spedhed on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is su randon H the site plan, plat. or the intended use changes. The Construction Authorization shall not be transferred when tlrere is a change in ownership of the site. This
Construction Authorization is subject to nmpli siom of the laws and Rules for Sewage Treatment and Disposal and to she conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construction Authorization Expiration Date: 5 2,9
HTE# 16- 5-3t 81 Permit #
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized
PROPERTY LOEATON: SFSS�= "p
_ LOT # 1
Date: *I 1 G
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility., is C n Design Flow (.1949)�60X
Location of Site: Property Recorded:
Water Supply: Public❑ Individual El Well
Evaluation Meth er 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
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(1n.)
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
Horiz
L5J.
vim, I'lAv
Oj
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): i}
Available Space .1945 Evaluated By: q
System Type(s) l ✓ t5 Others Present: —
Site LTAR