IPACHTE# Harnett County Department of Public Health 2910
Improvement Permit
A building permit cannot be issued with only an Im rovenV Permit
PROPERTY LOCATION: 4 � `i�rofl'L,,
ISSUED T0: �ooOTiAMt Rascal a,>_ SerpT SUBDIVISION LOT #
NEW,K REPAIRL� EX ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFO Lla A-7
Proposed Wastewater System T(ppe: 'Q14;0/b QF_ouGs s a N J S6M
Projected Daily Flow: 3 b C) GPD
Number of bedrooms:-- �Number of Occupants: fo max
Basement ❑Yes XNo
Pump Required: ❑Yes ><No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community >K Public ❑ Well Distance from well feet Permit valid for. XFive years
Permit conditions: e ❑ No expiration
Authorized State Agent:: \��\• -3i Date: qa� 1�� l� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o r permits. The permit hdder is responsible for checking with appropriate governing bodies in meting their requirement. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Permit shall not he 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
squired 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:'W000NP,Md �A�Dar.T ScoT PROPERTY LOCATION: I-152.1 Pa oEn.oSA ZD
SUBDIVISION LOT #
Facility Type: ��� Ll x'-7 "IK New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a.S°/ 6 iilc9 v CT'l IT N S `>ST a t.n (Initial) Wastewater Flow: o GPD
(See note below, if applicable ❑)
a5 b�es V�'GD V Lt a V N S 'Repair)
Installadon Requirements/Conditions Number of trenches 3
Septic Tank Size s 0 0 o gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. ro - aQ inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: Crb--inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 system type speciled ir different from the type spec6ed on the app/nonan. / accept the rpecilcatiom of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use change:. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authonration i ith t ovuions of the laws and Rules for Sewage Treatment and Disposal and te the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent Date: S 1, )-1)1-1
ion Authorization Expiration Date: to T1 a
HTE# ) — S-
Permit # a nl10
Harnett Connty Depailitient of Public Health
Site Sketch
ISSUED TO:o
PROPERTY LOCATON: �1
�ArotJ Sca SUBDIVISION
9
LOT #
Authorized State Agent:
Q;w GG)vat, ;CLKs;Os
Date:
.o
DaNOf1L05� RD
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:.I 4c"W) Design Flow (.1949):3 0 5 .?` Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Augring El Pit ❑ Cut
Bo
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
I
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.)
.1956
Sapro
Class
.1944
Restr
Horiz
5-7
<r3 g
G 5
n t.6 uC
S"
Description Initial Repair System Other Factors (.1946):
Syjtent Site Classification (.1948): f�5
Available Space (.1945) If Evaluated By: PC
System Type(s) 3XIO Others Present: —
Site LTAR