IPACHTE# 1(,.- 53a39`3 Harnett County Department of Public Health 28943
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: S T N 66ty
ISSUED TO: M ac—^*t C ova' 0, SUBDIVISION C44 -N9 C—,, LOT # "
NEW 4!� REPAIR ❑ r EKPAN ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ��p `����
Proposed Wastewater System Type: 2-S°lea ViEAkKr s U w
Projected Daily Flow: 1-4-06Q) GPD
Number of bedrooms: L1 Number of Occupants: _max
Basement ❑Yes �No
Pump Required: ❑Yes -410 ❑� May Elbe required based on final location and elev`6nssf facilities
Ely
Type of Water Supply: Community Public Well Distance from well Vy feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees ante
site is subject to revocation if the site plan, plat or the intended use changes. The Impr
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date:
SEE ATTACHED SITE SKETCH
of other permits. The permit holder a reonsible for checking with appropriate governing bodies in meeting their requirements. This
versions: Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
Rettuired for Buildin¢ Permit
The construction and installation requirements of Rules .1950, .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: M J—e-t" �^ W � v >S PROPERTY LOCATION: \ t n1 G 6n1 QA
SUBDIVISION 'ia,"va (Z. -A -\p Ck LOT # 10 4
Facility Type: S�fl �z a'xJ�� New ❑ Expansion ❑ Repair
Basement? ❑ Yes "ZKNo Basement Fixtures? ❑ Yes No
Type of Wastewater System** a �� jn�u( Gr- N 5�3 Gm (Initial) Wastewater Flow: y�0 GPD
(See note below, if applicable ❑)
71r5•4M(Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size t d oy gallons Exact length of each trench E O feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6- lid inches
Maximum Trench Depth of: S' 3 t inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: k TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: Oe To 44L tssyGo 64z- eoygl 86a-,2 SSA6PL1zfD inches total
WATER LINES (IN LUDING 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 rfrtem type spedhed is different from the type spedhed on the app/icaden. / accept the sperifcadonr of this permit
Owner/Legal Representative Signature:
Construction Authorization is
Authorized State Agent:
plat or the intended use changes. The Construction Authomadon shall not be transfers
of the Laws and Rules for Sewaee Treatment and Disnosal and to the conditions of this
Date: %
Authorization Expiration Date:
Date:
SEE ATTACHED SITE SKETCH
HTE# -75'�3 �5-3 Permit # a`6r1 L� a'
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ARID
ISSUED TO: �� C� v C° T�P� 2 SUBDIVISION ��vlc C,,�, P ` LOT # _
Authorised State Agent Date:
30 B U ER
A -P. USiVf St2 {�
ioo
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOII✓SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: L,qM � Design Flow (.1949): )"JQ eP�
Location of Site: Property Recorded: J
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:A Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: f'�, Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Stmcture/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth W.
.1956
Sapm
Class
.1944
Restr
Hora
LS
q)cc -
D,
D,
O 16
G
'IGS
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):
Available Space(. 1945) Evaluated By:(3-'�
System Type(s) Q: . , Others Present: �.
Site LTAR .�