IPACHTE# Harnett County Department of Public Health 289n, 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
� \ PROPERTY LOCATION: CyP�nmL Q.n
ISSUED T0: JO�tl'1� LEr atlsgp� aV 1Lt,pCr�j SUBDIVISION LOT # I
NEWAKL REPAIR 11 AFrSION ❑
Type of Structure: f 100
Proposed Wastewater System Type:
Projected Daily Flow: Qilt> GPD
Number of bedrooms: 3 Number of Occupants: C, max
Basement ❑Yes 59(No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes �KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well \ C0 feet
Permit conditions:
Authorized State Agent: "-)A
The issuance of this permit by the Health Department in no way guarantees —P1 ce
site is subject to revocation d the site plan, plat or the intended use changes. The Imp
the Laws and Rules for Sewage Treatment and Disposal and m conditions of this permit.
Date:
Permit valid for.
Five years
❑ No expiration
SEE ATTACHED SITE SKETCH
of other permit. The permit holder is respon%ible for checking with appropriate governing bodies in meeting their requirements. This
mal mot 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
(Required for Building Permit)
The construction and installation requirement of Rules .1950, .1952, .1954, .1955, AM, AM, .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: J oSW'y-\ PROPERTY LOCATION: Q�-t%szc V.a
SUBDIVISION LOT # I
Facility Type: ir1e9 LS -1 N, act New��,❑ Expansion ❑ Repair
Basement? ❑ Yes � No Basement Fixtures? 11 Yes ;K No
Type of Wastewater System" 2.S /o PC- puL-sla,J Sy ^n (Initial) Wastewater Flow: -31Z0 GPD
(See note below, if applicable ❑)
Pu tY vC�° aS 7 a P -6p 575 (Repair)
Installation Requirements/Conditions Number of trenches )
Septic Tank Size hood gallons Exact length of each trench a feet
Pump Tank Size gallons Trenches shall be installed on contour at ast:G
Maximum Trench Depth of: aLT•14% " vin4e
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing Feet on Center
Soil Cover. �_ 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 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: / ondentmof the tyttem type rpetiled is different from the type .rpeciled on the app/iration. / accept the Wd§cadonc of this permit
Date:
This Construction Authorization is subject to re the i e plan, plat or the intended use lunges. The Construction Authorization shah not be transferred when there is a change in ownership of the site. This
construction Authorization is subject to compliance wit o the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Roti Date:
Constr ' n Authorization Expiration Date:
HTE# 16 -5 3`T� Permit # ZZ'')IAi
Harnett County Department of 1'nblic Health
Site Sketch
PROPERTY LO(ATON: G -An 14
ISSUED T0:fp�y�LEro2��t��,aK,5 SUBDIVISION
Authorized State Agent:
'►4 l.w--s �. u N
N d O��gE.2
Date:
LOT #
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOUJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): '3 Cr��
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation MethoAuBoring ❑ Pit El
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Positiont
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wemesst
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
)
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y s
u
vIRL vs)"P
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a
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Description Initial Rep 'r System Other Factors (.1946):
S ste Site Classification (.1948): V�
Available S ace .1945 Evaluated By:
System i s U Others Present:
Site LTAR L�