IPACHTE "OG LC3 Harnett County Department of Public Health 29411
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
nn PROPERTY LOCATION:_ Ooc 5 12, C)
ISSUED T0: tYaw Ly yr r SUBDIVISION — LOT # _V
NEWLY' REPAIR ❑ EXPANSION ❑
Type of Structure: Tit AH , 1) U n Q
Proposed Wastewater System Type: --L", QGouc�,-nN t ca,,,
Projected Daily Flow: 31C) GPD
Number of bedrooms: i Number of Occupants: _Gmax
Basement ❑Yes A -No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes `RNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community IR Public ❑ Well Distance from well L 013 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: _�� -r� 5 Date: �J�I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees issuan other permits. The permit holder is response a for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat. at 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 provisiom 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..1951, .1954, .1955, .1956, .1951, .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: 12 in u i Z --y O.ssr PROPERTY LOCATION: d c 5
SUBDIVISION LOT # I
Facility Type: Y7v s i�OME �2�%�lU� New ❑ Expansion ❑ Repair
Basement? ❑ Yes _r50o Basement fixtures? ❑ Yes -XNo
Type of Wastewater System** "'Q QC-f)y cfc , tv J:f w> . (Initial) Wastewater Flow: 3c O GPD
(See note below, if applicable ❑)
u
Installation Requirements/Conditions
Septic Tank Size l o o c) gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
9-40 r gym (Repair)
Number of trenches 2
Exact length of each trench 6 O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 1"C'30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. C -'X inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
**If applicable, / understand the srytem type rpeciled is diherent from the type specified on the app/icatior, / accept the rpecibcationr of this permit
Date:
This Construction Authorization is subject to revoca a site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authomatinn is suSLt to compliance w" prove - t ie laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: T Date:
Con c�uthorization Expiration Date:
HTE# L-1 G l O Permit # a9 TA 1 i
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: O oc 5
ISSUED TO: �� �L y o J SUBDIVISION — 11 LOT #
Authorized State Agent: iiY 1 T t" fa Date: ah3� 1 1
LNS
a>s
iSG
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: Design Flow (.1949):.6 0 ��
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger Boring El pit El cut
Type of Wastewater: --[-I Sewage E] Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
LS
Wq- N31nq
s
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948P
Available Space (.1945) Evaluated By:lr\
System Type(s) /e 3 Others Present:
Site LTAR -�
,I -G9 C. 3o