IPAC RNTE# 1(7-S-3a)11t. Harnett County Department of Public Health 28940
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: "rl ti -1 1—yrisj Vi
ISSUED TO: CC `35 ' N ` SUBDIVISION Swc-G-sl�wv, C-4, LOT # a5
NEW,, REPAIR ❑ANSION 1:1 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFg Q-"I0"xLk 0�
Proposed Wastewater System Type: a5'�v W�c Cl o N STF
Projected Daily Flow: L --1-b0 GPD
Number of bedrooms: �t Number of Occupants: max
Basement []Yes )KNo
Pump Required: []Yes -'KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 19, Public ❑ Well Distance from well Y het Permit valid for. 'Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date:�, — 1 L SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issue of other permits. The permit holder is raponsibk for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the sire plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the Bice. 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, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 art incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED T0: !ri IC,- Co a5i �1[— PROPERTY LOCATION: y'at L �—yGos
SUBDIVISION Swcc wo Flt LOT # 3�
Facility Type: S 'i79 L4 0"'-A OD �K New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes -X No
Type of Wastewater System** R&D cs T a N 5>r(Initial) Wastewater Flow: La 0 GPD
(See note below, if applicable ❑) ase/o
Installation Requirements/Conditions
Septic Tank Size 1 O O o gallons
Pump Tank Size gallons
Pump Requirements: ft TDM vs.
Conditions:
1<69 . D y S (Repair)
Number of trenches
Exact length of each trench -70 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacinc) feet on Center
Soil Cover. &6'22)o inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / moderstand the system type spedhed is different from the type specified on the application. / acrept the spechfcadonr of this permit
Representative Signature:
Date:
This Construction Authorisation is subje anon if Me site plan, plat or the intended use changes. The Construction Authoriradon shall not be transferred when there is a change in ownership of the site. This
Construction Authorisation is su compliance ts mf the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 5 Date: Q 3 Y
Col &on Authorization Expiration Date: r9 b��
HTE# Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: qI,L 1 -0C -m et,
ISSUED T0: N L-Arn-�C- SUBDIVISION S,j tzC�N *t c.Tc,2 LOT # 35
Authorized State Agent: 'WNS Lf,)Ltvcq 10Date: �I3�16
RP�r,t mgS<(,rZ S �
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:�p Date Evaluated:
�
Proposed Facility: "13 b Mn Design Flow (.1949)W IT)
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method. er Bo u g ❑Pit C1 Cut
Type of Wastewat : 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
Consistence
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Salim
Class
.1944
Restr
Horiz
c -a
G- la
G 5
VEL SivQ
Ia�L
x,
36
53X G�
T:�- >_ 5 51
Pc_
S
G 5
F rl g)^N
6-36
�31�c
�. �,x5e
Pf5
4'4
SQY�_C
'n s56T
)c,I
C -S
V -L 1�
Description Initial Repair System Other Factors (1946): D!
S ste Site Classification (.1948): �.t
Available Space (.1945)1 N Evaluated By:<�<
System Type(s) Others Present:
Site LTAR S 14