IPACHTE# i-7 5 �AalSct Harnett County Department of Public Health29804
Improvement Permit
A building permit cannot be issued with only an Im rovement Pjrmit
t--� a.r� PROPERTY LOCATION: NL
ISSUED TO: YC''A o t aAdQU v SUBDIVISION f lcoclt NCKLF--s LOT #
NEW' REPAIR ❑ E)LPANSIO ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �AN \10m6 (a8 x56
Proposed Wastewater System Type: 25`/e PExavcicsas Sq=;;Em
Projected Daily Flow: 3fo0 GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes e)ffNo
Pump Required: ❑Yes >( No ❑ May 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: Date: v1 �� )1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t to of other permits The permit holder is responsible for theding with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it the site plan, plat, or the intended use changes. The ImPrIvement Permit shall not be affected by a change in ownership of the site. This permit is sublets to compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and m conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references inm this permit and shall be met Systems shall be installed in accordane
with the attached system layout ,r.�
ISSUED TO: a.bs tw1g 1 tAN CSU e'n PROPERTY LOCATION:
Tae�� � xS� SUBDIVISION n<10v»L Acus LOT # _`Y
Facility Type: t.0 New ❑ Expansion ❑ Repair
Basement? ❑ Yes -»K No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** as'�o Q6&tGSt0ra S-VSSEre, (Initial) Wastewater Flow: 3e6 GPD
(See note below, if applicable ❑)
C- °VK R Gi s o tv SY 7 6m (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size i o o O gallons Exact length of each trench e hbb feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1 a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: 9 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 IOFT. 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: / unde7tand the tyttem type tpealed is d1herent !mm the type rpealed on the app/kation. / accept the rpeciltraGonr of this permit.
This Construction Authoruadon is subje vocation if the site plan, plat or the intended use changes. The Construction Authorirmon shall not be transferred wher
Construction Authorimtion is supject so complia\ce Tha�rovisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
Authorized State Agent Date:
Authorization Expiration Date: %�
Date: _
there is a chs
)7
SEE ATTACHED SITE SKETCH
HTE# )i- 5—Permit # a`1 Q0
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: n?Ptcx_,q�
ISSUED TO: Do P, r GV M SUBDIVISION T) NC t>� LOT #
Authorized State AgentDate:
(/ � ,� L• 36
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ONSITE 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
Posuton/
Slope%
Horizon
Depth
(In.)
SOH. MORPHOLOGY
.1941
OTHflt
-PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Commence
minenalgo
.1942
Soil
WetnmV
Color
.1943
Soil
IN.
.1956
Sam
Class
.1944
Reatr
Horiz
r
x
Description Initial Repair System Other Factors(.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
Sem T s Others Present:
Site LTAR