IPACHTE# 14-6431Z Harnett County Department of Public Health 29763
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED T0: SUBDIVISION
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Y32 Go s xc e S rn
Proposed Wastewater System Type:a 5`10 rt e%�oia es s.<
Projected Daily Flow: !ze rd GPD
Number of bedrooms: Number of Occupants: F3 max
Basement []YesPump Required: EaWs ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I�ic ❑ Well Distance from well feet Permit valid for. aTiv�eyears
Permit conditions: ❑ No expiration
Authorized State Agent: Date: i 1 act l� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits, The permit holder is responsible for specking 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 .1958, .1951, .1954, .1955, .1956, .1951, .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: Saran Px ; PROPERTY LOCATION: 4a t'.xrxap SES, -L% n L c olta S�:r_ h1�
SUBDIVISION <L: vcl t rca LOT # /
Facility Type: y32 ��i`a Gveya S[� � ❑ Expansion ❑ Repair
Basement? ❑ Yes Ca-lfo- Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** O,arw I? Q"s'C " A ,cam s s/ r,., (Initial) Wastewater Flow: �9U GPD
(See note below, if applicable ❑)
96CAla Ano 2426 2tX .. r S s (Repair)
Installation Requirements/conditions Number of trenches
Septic Tank Size f ,A 6 0 gallons Exact length of each trench O feet Trench Spacing:
`% Feet on [enter
Pump Tank Size I a 5 o gallons Trenches shall be installed on contour at a Soil Cover. I? -> G inches
Maximum Trench Depth of: Xy / $ 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: h. TDM vs. GPM rb✓A inches below pipe
�• Aggregate Depth: w A.inches above pipe
Conditions: — vci.eu 1 �G N ft inches total
(D 7 tr.-) G.,,
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.
**If applicable: / understand the system type specAed it di!/errnt prom the type specified on the app/icatian. / accept the Jpecih'cationr o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it the site plan, plat, or the intended use changes. The construction Authorization shall not be transferred when there h a change in ownership of the site. Thu
Commission Authorization is subject to compliance with the 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 Date: I I Zk I I ;;?u i:1
LE�b2.c Cw2Gl.axJ Construction Authorization Expiration Date: i I a1 12 0 A 2R
HTE# t-ti2,-4a3 Permit# fa) Cl4&3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOfATON:_ 43 Pvrnp 56-4 x n /L.. (oIA SL;,.anp.)
ISSUED TO: SUBDIVISION avec crzsf LOT #�
Authorized State Agent: C' i��t� Date:
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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:
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
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 (N.)
.1956
Sapro
Class
.1944
Restr
Horiz
I)S
L 3��
0-�
�L
Site LTAR
o -3S
5L
It
4 -Ya
N/ Sw
F'
7,3 Y4 -1t,VOy�tr
#_'d
p•3�
Description
Initial
Repair System
Other Factors (.1946):
System
Site Classification (.1948):
Available Space (. 1945)
Evaluated By:
System T s)
Others Present:
Site LTAR