IPACHTE# K. -5—L-1031 Co Harnett County Department of Public Health 29126
Improvement Permit
A building permit cannot be issued with only an Improvement Pell it
PROPERTY LOCATION: TN 6� v 1ZD
ISSUED T0: SUBDIVISION PZ.P.CG LOT #
NEW REPAIR ❑ FI(PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _$ �30 x J
Proposed Wastewater SystemT pe: Vv coca' C� a5 0 ���-� 0 Ka
Projected Daily Flow: 320 GPD
Number of bedrooms: '3 Number of Occupants: so max
Basement []Yes -'N�No
Pump Required---E�es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public El Well Distance from well 1 O Q feet Permit valid for. Five years
Permit conditions: _ . ❑ No expiration
Authorized State Agent: �lS Date: 111 SL11r1 b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuary Cher permits. the permit holder is respo�Rible (or 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 Impravemen mit 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 continues of this perinit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, AM, .1954, .1955, .1956, .1957, .1958. and .1959 an incorporated by references into this permit and shill be met Systems shall be instilled in accordance
with the attached system layout —�t—
ISSUED TO: CJ F.A\N CON-1QNC5�\NSG PROPERTY LOCATION: 11N G6gv
SUBDIVISION eo,( —DLP, C6 LOT #
Facility Type: 5C� �3a XS�� New ❑ Expansion ❑ Repair
Basement? ❑ Yes '�iL No Basement Fixtures? ❑/ Yes �No
Type of Wastewater System** ?J Ino -7. w-S'!e RE.ovcp� TYy t4 S /57 brv�- (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
Qv �p^fid aSw o (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size 10 o c!) gallons Exact length of each trench 60 feet
Pump Tank Size t Oo O gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: &H inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: 1 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: / onderraand the system type rpecihed is different from the type rpedhed on the application. / accept the tpecihcationJ of this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan, plat or the intended use changes. The Construction Authonution shall not be transferred when there is a change in ownership of the tire. This
Construction Authorization is subject to compliance roviswytof the taws and Rules for Sewage Treatment and Disposal and to she conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: :� W—'-vvS Date:
Constru tt Authorization Expiration Date:
HTE# 16 - 5 L-1 1 �, Permit # l) V1 L
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 1 �1 VEv
ISSUED TO: McLCe,a SUBDIVISION Mz ,,Q�.yQ I.saGL LOT #
Authorized State Agent: Date: 121�a11
CIC
"0 vaf
M
RE
Q
sstx.'F 9Q,,�G
Department of Environment, Health and Natural Resources
Division of Environmental Health Sheet:
On -Site Wastewater Section -Property ID:
Lot #:
SOIUSITE EVALUATION File #:
for ON-SITE WASTEWATER SYS Code:
TEM
Owner' Applicant
Address: Date Evaluated: Ilk) 1
Proposed Facility: T C�JJQM
Location of Site: Design Flow (.1949): 3,;0 : Property Size:
Water Supply; Property Recorded:
Evaluation Method quge ubllic❑ Individual ❑ Well
Type ❑ Pit ❑ Cut Spring
T e of Wastewater; Sewage
El Industrial Process ❑Mixed
R
O
.1941.1941
F
.1942
soil
SWcture/
Texture
1
.1940
L
laadsape
Horizon
E
PositwW
Depth
#
Slope%
(In.)
Lg
1 5
O -jam
703
SOI, MORPHOLOGY
.1941
.1941.1941
.1942
soil
SWcture/
Texture
ons
Cistence
Wetness/
Minerato
Color
-J� us 11,
Site Classification (.1948):
Evaluated By:,,
Others Present: —
❑ Other
OTHER
ME FACTORS
.1943 .1956
Soil Sapro
.1944 Pro&Ie
R'a Class
Horiz & LTA
5Q