IPACHTE# Harnett County Department of Public Health 29712
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C.`/PCLE50 C)eL\`eE
ISSUED TO: \4s.)-> oo �NSaCclFocz,S `N L SUBDIVISION N a noFJa Ltyzs LOT # a3N
NEWW'& REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SCS OD
Proposed Wastewater System Type: 1.S'/w QCnyCY a pact yS EM
Projected Daily Flow: 4'1 n GPD
Number of bedrooms:Lam- _ Number of Occupants: max
Basement ❑Yes ANo
Pump Required: Dyes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '. Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: U -)i Date: 9113 3`1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Realth Department in no way guarantees t uamce of other permits. The permit holde� responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject on 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 taws 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 shill be met. Systems shall be installed in accordance
with the attached system layout
ISSUED T0: *)--i Co s56tAVC0(1S PROPERTY LOCATION: CyeQ,E55 OcLv� L
�6o SUBDIVISION \ -3po�N Lox><s LOT # S3N
SF0
Facility Type: x 70� New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Sw�p TA6ovt�v (i (Initial) Wastewater Flow: 430 GPD
(See note below, if applicable ❑)
Com. C3 yS . (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size Lop C) gallons Exact length of each trench &-10 feet Trench Spacing: c) Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover, 4c - a inches
Maximum Trench Depth of. inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: N. TUN vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If�a pliable / undeetstand the ryrtem type cperiled it diKerent /iom the type rpetiled on the application / accept the rperilradonr of thin permit
Owner/Legal Repr a Signature: Date:
This construction Authorization is subject to 'f 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 Authorize ett tow nu with " m of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: -NS Date: CA 3
Con ction Authorization Expiration Date: S I )3W-,
HTE# 1 - 5—� S
Permit # q� Ya,
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: CyPILE.S D2w G
ISSUED TO: SUBDIVISION \�,oafN LOT# a3A
Authorized State Agent:Date:
11A)
O
G
D
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: l
Proposed Facility: 4 fiOrLr` Design Flow (.1949): y1d6 � G
Location of Site: Property Recorded:
Water Supply:Public❑ Individual El well
Evaluation Method A er Bo ng E] Pit ❑ 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN J
.1956
Sapm
Class
.1944
Restr
Horiz
5
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6 _SL
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�x sc.Z
�✓) �s� NQ
� S yS
V;r2 5�
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Description Initial Ra
ir System Other Factors (.1946):
S st Site Classification (.1948)-Y S
Available Space (.1945) j 11 Evaluated By: qy(
System Type(s) S .f.(20 Others Present: —
Site LTAR ' L 5 i