IPACHTE# ►� 5,,���Lta Harnett County Department of Public Health 29427
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
y� \ PROPERTY LOCATION: Lou
ISSUED T : G r—sc� 1�°MPJ` L SUBDIVISION LOT # 1-8
NE REPAIR ❑ PANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 C9 �3`b"4�'
Proposed Wastewater System Type: QL� 9'o S24DUcr-1 of YZ>�
Projected Daily Flow: Ls;�O GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes XNo
Pump Required:X& ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Community �e Public ❑ Well Distance from well feet Permit valid for:
Permit conditions:
Authorized State Agent:\� The issuance issuance of this permit by the Health Department in no way guarantees the issuance o
site is subject to revocation it the site plan, plat or the intended use changes. The Improvement
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
"five years
❑ No expiration
Date:3I 1� SEE ATTACHED SITE SKETCH
The permit holder i r�sible for checking with appropriate governing bodies in meeting their requirements. This
dl not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permjt)
The commuction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1956. 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: DoG3
SUBDIVISION Qac 0 N LOT # N_
facility Type: 5QCI(13N67-1�) New ❑ Expansion ❑ Repair
Basement? ❑ Yes --�& No Basement Fixtures? ❑ Yes '0 No
Type of Wastewater System** PvS�nvGw:-i (Initial) Wastewater Flow: 476 GPD
(See note below, if applicable ❑)
w
Q�- Sri (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size 100 c-- gallons
Exact length of each trench a feet
Pump Tank Size U gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: '9 Feet on Center
Soil Cover: 6- IX 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 grtem type speciled is different from the type specified on the app/kation. / accept the spedlcalons of this permit
Date:
This Construction Authorization is subject to revoatio sire pian, plat or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Comuuction Authorization is s t to mmpliana = he pmvmo he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 33
Date: r>
HTE# 1-1'S �Ll�
Permit # a-0'
Harnett County Department of 1'ablic Health
Site Sketch
PROPERTY LOCATON: Do -� Ra
ISSUED TO: n `HL SUBDIVISION do L osv; LOT # \8
Authorized State Agent: o v ToLxS Date: 401 17
`)3
'100.36.
HGaij (aZNovTJ D2,4[_
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:2�S300. to Design Flow (.1949)441Q 5 fl
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:a Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 4 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
Minemlogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth IN.)
Sapro
Class
.1944
Rest/
Horiz
Description Initial - - Repair System Other Factors (.1946):
S ste d— I I Site Classification (.1948):
Available Space(. 1945) Evaluated By: �(
System Type(s) V rAj Others Present:
Site LTAR