IPACHTE# )31-:L Harnett County Department of Public Health 29521
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
RCS PROPERTY LOCATION: CP.aa.ti'!d'9a.1 'R�
ISSUED TO: �y SUBDIVISION
NEW REPAIR ❑ KPANSION ❑ LOT # S�
Type of Structure: S%0 (Sg AnrJ + G���� Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater Systeme:
Projected Daily Flow: 3b d GPD
Number of bedrooms: Number of Occupants: mag
Basement ❑Yes 'IR'No
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
�1453o
❑ Community
❑ May be required based on final location and elevations of facilities
.E. Public ❑ Well Distance from well feet
Authorized State Agent:: ,� ��g
The issuance of this permit by the Health Department in no way guarantees the i e
site is subject to revocation if the site plan, plat or the intended use changes. The Imp,
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Permit valid for.
Five years
❑ No expiration
°°1e`SEE ATTACHED SITE SKETCH
permits. The permit holder is respomi fe for checking with appropriate governing bodies in meeting their requirements. This
Permit shall not be affected by a change in ownership of the site. This permit is subject in compliance with the provisions of
Construction Authorization
(Required for Building Permitl
The mnstmction and installation requirements o1 Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are inmrpomted by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout.
ISSUED T0: -Zc oti k&W PROPERTY LOCATION: C1Narr,,2
k SUBDIVISION LOT # 5�
Facility Type: _S� O wno G E New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basem t Fixf ares? 11 Yes JkNo
Type of Wastewater System** res 7a I �CO u Gs s d 'P.R <S SEM
(See note below, if applicable ❑) (Initial) Wastewater Flow: 34a GPD
P'X"D, S � 5 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size lopQ gallons Exact length of each trench _C61Z:> Leet Trench Spacing:
Pum Tank Size 9 Feet on Center
P gallons Trenches shall be installed on contour at a S T C
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. _ GPM
Conditions:
os over: 11 orches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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
I( applicable: / undeatand the syrtem type spedfed it different from the type spealed on the app/iration. / accept the rpecilratimos of this pem7it.
Date:
This construction Authorization is so revocation if the 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 Authorization is s "en to compliant Vons of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this person, SEE ATTACHED SITE SKETCH
Authorized State Agent: �5 Date: S 3
Construction Authorization Expiration Date: l6 1 )4 Iaz
HTE# 11-5-413iA
Permit #
Harnett County llepa1111jent of 1�iblic Health
Site Sketch
PROPERTY LO(ATON: CAMFJLO, QD
ISSUED TO: SUBDIVISION
LOT # �$
Authorized State Agent: OL aCtL ULrs9o� Date:
Cgrh,
_ N
yL�
"10ISt
Q Q
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):
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
Description Initial
JEPOSition/
jHorizon
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
ProfileStructure/
Class
& LTAR
.1941
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Site LTAR
d-3
369
Description Initial
Repair System
Other Factors (.1946):
Sstem
Site Classification (.1948):
Available S ace (.1945)
Evaluated By:
System Type(s)
Others Present:
Site LTAR