IPACHTE#I(-s--5:6o'Harnett County Department of Public Health 28743
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
C— PROPERTY LOCATION: Crrwy T -s �w2d.
ISSUE: YEvE JA0nR% SUBDIVISION LOT # 1
NE REPAIR e PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:-5V-"Q%�"�'
Proposed Wastewater System Type: Q:!5'/ 1X—) o> —
Projected Daily Flow: 3`G GPD
Number of bedrooms: 3 Number of Occupants: % max
Basement ❑Yes No
Pump Required: []Yes ein,No ❑ Na be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community JVK Public ❑ Well Distance from well feet Permit valid for. years
Permit conditions:�_ i ❑ o expiration
Authorized State Agent: '� -) Date: a 6 SEE ATTACHED SITE SKETCH
The issuance of This permit by the Health Department in no way guarantees the issu tpf other permiB. The permit ho4 er is responsible 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 rhanges. The Improvem Permit shall not be affected by a change in ownership of the site. This permit is subject or 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 Permit)
The construction and installation requirements of Rules .1950, .1952, .19S4, .195S, .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: ��VE:- ) �caMyS PROPERTY LOCATION: ��63 RNJISIZ- `CD
SUBDIVISION ILOT # I
Facility Type: ` 9L�i�) New [I Expansion El Repair
Basement? ❑ Yes '1�kNo Basement Fixtures? ❑ Yes o
-
Type of Wastewater System" .Seca �EDy�\t7 y5 KGs^ (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
9"CO S (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size v gallons Exact length of each trench aOO feet Trench Spacing: 5 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: (--A inches
Maximum Trench Depth of. inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TON vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: S-ypT Pc N-�)SGZFP 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: / ondeatand the rystem type speciled is different from the type spelled on the app/iadon. / accept the specilcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject cation the site plan, plat. or the intended use changes. The Communion Authorization shall not be transferred when there u a change in ownership of the site. This
Construction Authorization is compha 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:
Cons ion Authorization Expiration Date:
HTE# 16-5 3�oa
Permit #
Harnett County Department of Pablic Health
Site Sketch
PROPERTY LOCATON: 210V -Tri
ISSUED TO: SUBDIVISION LOT # 7
Authorized State Agent Sw�S W�lv(� i Ol9GC15� Date:
3y�
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: _ Date Evaluated:
Proposed Facility: 3 SS7 Design Flow (.I949):360_'y
Location of Site: Property Recorded:
Water Supply:ublic❑ Individual ❑ Well
Evaluation Me[A er Bon ❑ Pit E)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
Stmcture/
Texture
.1941
Consistence
Minenilogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth W.
.1956
Sapro
Class
.1944
Restr
Horiz
-
Q�,�S
Description Initial Repair System Other Factors (.1946):
Syst9m Site Classification (.1948):)
Available S ace(. 1945) t EvaluatedBy:C\
System Type(s)) Others Present:
SiteLTAR�-"��