IPACHTE#1_7 Harnett County Department of Public Health 29416
Improvement Permit
A building permit cannot be issued with only an Impprovement Permit p
PROPERTY LOCATION: r I s z L Lyc? s ho
ISSUED TO: -'S s Cr Ca'4 gr�' • SUBDIVISION S -t -a E c s 1. TD,- C.2 LOT #
NEWT REPAIR ❑ ETON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5�0 �3� r�";S /
Proposed Wastewater System Type: aS '/ e oyycl o s 5 / n Ls',
Projected Daily Flow: � to0 GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes '>KNo
Pump Required: []Yes ❑ No (May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well X00 feet Permit valid for. Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent: Date: 3 1'7 11 19 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance-oi4lialaw,o. The permit holder is responsible 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 m compliance with the provisions of
the lam 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 .19So, .1952, .1954, .1955, .1956, .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 T0: PROPERTY LOCATION: _W 1Lz LUc t! Rv�
SUBDIVISION '5 , te-_R Fes, 44 LOT # (oQ
Facility Type: SE4 °1 ' t as3� New ❑ Expansion ❑ Repair
Basement? ❑ Yes -El No Basement Fixtures? ❑ Yes �E&Ao
Type of Wastewater System" a 5°( o RZp U t� 5 Tf rn (Initial) Wastewater Flow: 3rn 0 GPD
(See note below, if applicable ❑)
�)_!°1y Rte. �) (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size T O o d gallons Exact length of each trench a-a.!�;_ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: W - GS7 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: __�— Feet on Center
Soil Cover: Lia- 53 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable• / understand the s}rtezn type specded is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
Thu Construction Authonzauon m su 1 d 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
(anstmaion Authori:atia r,�to mmplian vi rit�the pros I the Laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: M� _�� 96-b Date: 317
Authorization Expiration Date:
HTE# I -S-t--�dG`l� Permit
Harnett County Department of public Health
Site Sketch
PROPERTY LOCATON:_ A— t i t L» CV-,6�n
ISSUED T0: �� C- t SUBDIVISION �)..j r-, 4 p<3 -r2 LOT At 6'd
Authorized State Agent. 16 JGL 1 oDate:
1655`
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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: q
Proposed Facility: 3 e{OQAY Design Flow (.1949): JC 0
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: Au -r BAng ElPit El 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
MineralogyColor
.1942
Soil
Wetness/
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
ll
O -)V
J 1_
vvi-' 15 )
10 -yo
_'46� cL
72 -5
40__5�
SSY �
V, -5
rs,�
5�60
G s
in T-JaQ
C>-16
C. S, L,
10 -I -Q
Description Initial R air System Other Factors (.1946):
S ste Site Classification (.1948): ur�
Available Space(. 1945) Evaluated By: v l
System Type(s) Others Present:
Site LTAR