IPACHTE# 16 S 3°1`biS Harnett County Department of Public Health 29047
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Ulo,C_s Q—D
ISSUED TO: CoNtr—,tLyc., acL5 SUBDIVISION QA cr+o rT, LOT # S7
NEW. REPJU ❑ RPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: gF'Si`yO -AS�.
Proposed Wastewater System Type: CL!5"/c,
Projected Daily Flow: L6-4 O GPD
L
Number of bedrooms: Number of Occupants: max
Basement ❑YetNo
Pump Required: Dyes, o4 May be required based on final location and elevations of facilities '� F
Type of Water Supply: ❑ Community Public ❑ Well Distance from well �o� feet Permit valid for. 14
motive years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: N� � SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits, The permit holder is respomibl 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 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 inmllation requirements of Rules .1950, .1953, .1954, .1955, AM, .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: C—O^s.sN ci-uC.,_ 6(1S PROPERTY LOCATION:
SUBDIVISION w Y_rn 0 �T LOT # \-7$
Facility Type: S�fl��O xrJa� New ❑ Expansion ❑ Repair
Basement? ❑ Yes -iR� No Basement Fixtures? ❑ Yes 1XNo
Type of Wastewater System** 9Z Lo R- v cam: v0 N SYSSE "n (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) ado
9—.FO • SyS • (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 100 o gallons Exact length of each trench 300 feet Trench Spacing: % Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. G inches
Maximum Trench Depth of: Ti 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: —ft. TDH vs. GPM inches below pipe
c'3 �-^ t� Aggregate Depth: inches above pipe
Conditions: =i- r_—ZnN"T PQ15 Cs� �JN \ 2CJP 05V\t— `S2or-, \ L's S 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: l understand the system type speciled is different from the type spec/led on the application. / accept the specirleviom of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization i to revocation if the site plan, plat. or the intended use changes. The Construction Authorization shall not be transferred when there u a change in ownership of the site. This
Construction Authonzation is vl m cam 1 revisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 2GI Date: SO �� 6
Construction Authorization Expiration Date: U a
HTE# Permit #
Harnett County Departinent of Public Health
Site Sketch
PROPERTY LO(ATON: oG7 19
ISSUED TO: HSUBDIVISION LOT # 17$
Authorized State Agent: ��� Q(c 5�L` JE1L O ��ate:
Boa'
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t:
1tao5C- 3e �
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3La3 I
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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: y Sca Design Flow (.1949): Lj(3
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auger Bonng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ 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
Structure/
Texture
.1941
Consistence
Minmlogy
.1942
Soil
Wetness/
Color
.1943
soil
Depth IN.
.1956
Sapro
Class
.1944
Reslr
Horiz
"5k�;-)z C_
V Q
3
o av
G
U 1-3O
'43\Z SGL
'C-?)
Description Initial Repair System Other Factors (.1946):
S st Site Classification (.1948):-V-}
Available Space(. 1945) Evaluated By: ate."
System Typo(s) Others Present:
Site LIAR .y .21