IPACHTE# 1�'S 3�1 S 13 Harnett County Department of Public Health 29019
Improvement Permit
A building permit cannot be issued with only an Improvemgnt Permit
\\ PROPERTY LOCATION: 3- N n ec_�A Lv.ayii'
ISSUED T0: SUBDIVISION CAgAjL-NesA Se-p.40>u-In LOT # vi�()_
NEW -N REPAIR ❑ EffRgNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _'6(7"0 Lid "S 0cj� �
Proposed Wastewater System Type: CLS'/• �C_OVGS\ Ue3 �rE�
Projected Daily Flow: L^e-) GPD
Number of bedrooms: z- Number of Occupants: max
Basement Dyes No
Pump Required: ❑Yeso ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �K Public ❑ Well Distance from well COG feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: \' Date:�_� t`Y\\b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees illof other permits. The permit holder is responsiln far checking with appropriate governing bodies in meeting their requirements. This
site is subject in revocation if the site plan, plat or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. 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, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill he mel Systems shall be installed in accordance
with the attached system layout
ISSUED TO: CU c, PROPERTY LOCATION:3�0) Gq EEN 1 v L s
SUBDIVISION LOT # C�acgpLl 1p �7ONS $0
Facility Type: `�� �S OxS�� New ❑ Expansion ❑ Repair
Basement.? ❑ Yes "�k No Basement Fixtures? ❑ Yes �No
Type of Wastewater System** S Vey �t=nycT U TS�GM (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
o Q's. Sy3. (Repair)
Installation Requirements/Conditions Number of trenches L
Septic Tank Size 1 OOC7 gallons Exact length of each trench \ Sb feet Trench Spacing: c) Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. -1'9 inches
Maximum Trench Depth of. \9'3 O 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: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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, / understand the system type specifled is different from the t)pe specified on the application. / accept the specibcationr of this permit.
Owner/Legal Representative Signature: Date
This Construction Authorization is subje onion if the site plan, plat or the intended use changes. The Construction AutSmritation shah not be conferred when there is a change in ownership of the site. This
Construction Authorization is sub to complian irh viiia the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
[Authorized State Agent: v4r)_�5 Date: 91 T1 16
Cons ipIT Authorization Expiration Date: `1 til a
HTE# 1�,- 53't51 3
Harnett County
Permit # QL`�O �C�
.Department of Public .Health
Site Sketch
PROPERTY LOCATON: 3 6 1 G2t c L) kS 1p6t.
ISSUEDTO: o�//C, SUBDIVISION CPp"tkSGP�ONS\ LOT#
Authorised State Agent: r0l—*-9D(D i Date: 71) ��1\b
�LA ri+w C
N� S
3�
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Lx Zca' Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply:Public❑ Individual [3 well
Evaluation Methods er B 'ng [3 pit ❑ Cut
Type of Wastewater: .. 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.)
SOI. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Clear
& LTAR
.1941
Structure)
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Salim
Class
.1944
Restr
Horiz
Lrj
p�
O'tj
j
Description Initial, Repair System Other Factors (.1946):
systchl Site Classification (.l948)'—'4'<
Available Space(. 1945Evaluated By: 'J
S stem Type(s) - Others Present:
Site LTAR