IPACHTE# » Harnett County Department of Public Health 29692
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: OtA \3-41\ISSUED TO: flP�-0�� �D�R�CN6Q,5 SUBDIVISION M-NM%S E36a_ R,NOCiE LOT #iS-t
NEW REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5F0 066 n' C
Proposed Wastewater System Type: Vs me—ye e `Jys
Projected Daily Flow: 4y60 GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes `KNo
Pump Required:)qYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community XI Public ❑ Well Distance from well feet Permit valid for:
Permit conditions:
Five years
❑ No expiration
Authorized State Agent: �\ V�� Date: Y il) 1 ) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is of other permits. 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 to compliance with the provisions 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, .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 TO: P L" -so 9PIUC r sc,(L5 PROPERTY LOCATION: CII -0 M"I2.1
SUBDIVISION %5t i- K o 6E LOT # __nP1
Facility Type: 5cp (!;�76 New ❑ Expansion ❑ Repair
Basement? ❑ Yes 1. No Basement Fixtures? ❑ Yes 5r No
Type of Wastewater System** P�,f'-Ta a. 10 AGO vGiv 1 H S� frr� (Initial) Wastewater Flow: y�i0 GPD
(See note below, if applicable ❑) P
y me 0 a 5°[o QGo• S,-, (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size (D 0 O gallons
Pump Tank Size L "'c"O gallons
Pump Requirements: (t. TDM vs.
Conditions:
Exact length of each trench a 00 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 1'% inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: C1 Feet on Center
Soil Cover: C inches
(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
**If applicable: / understand the rystem type specified it different hvm the type specified on the application l accept the specihcadons o! this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when then is a change in ownership of the site. This
Construction Authorization is su 7ec _ once widlthe provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: I;iz� Date:
It;truction Authorization Expiration Date:
NTE# »' S'U}t���
Permit #
Harnett (onnty Department of F`nblic Health
Site Sketch
PROPERTY LOCATON: O✓a l)S'- 1'\
ISSUED TO: flv co5e L—P N9 �ect:cvF�1� SUBDIVISION MPw-.,C- Eu e -,Or F— LOT # 76 IN
Authorized StateA¢en� 5 Wt—` aG(L TOL`L-10 S Date: �sl'j l �7
Is clz.,&69
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 1%13CCZ,.+ Design Flow (.1949): 41 C) 2)e Property Size:
Location of Site: Property Recorded:
Water Supply: __0 Public❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method�Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
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
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
Ly
a%
1iASY R
G'�
Description Initial Repair System Other Factors (.1946):
Systeme Site Classification (.1948):
Available Space (.1945) V Evaluated By:p'e
S stem T e(s) / Others Present
Site LTAR