IPACHTE# Harnett County Department of Public Health 30008
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Ki-vgase
ISSUED TO: 1T0mot3 SUBDIVISION _ C) Nuri LOT # a
NEWX REPAIR ❑ EXPAF♦,SION 11 Site Improvement required prior to Construction Authorization Issuance:
Type of Structure: SC-'Oxs��
Proposed Wastewater System Type: dwS Yc eE ouGS. n Jy f7wn
Projected Daily Flow: L{sa GPD
Number of bedrooms:
Basement ❑Yes No
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Communit
Permit conditions:
Number of Occupants: Is_max
May be required based on final location and elevations of facilities
X Public ❑ Well Distance from well feet
Permit valid for:
Five years
❑ No expiration
Authorized State Agent:R(�r�5 Date: 3_�I 1*t SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees iAe�a syana of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation if the site pian, 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 Builder Permit)
The constmction and installation requirement of Rules .1950, .1951, .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 amched system layout
ISSUED T0: —S-1 ev PROPERTY LOCATION: 09%MsQZ0',
SUBDIVISION OP.e rt" "-i e5 -t LOT # -$�-
Facility Type: S S>=n (�0 ><55� New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes p No
Type of Wastewater System'* a5'�e REovc--Csca NS�SCE. "- (Initial) Wastewater Flow: Ls�KCI GPD
(See note below, if applicable ❑) ll
HPPpQS (PUcnP1 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size s o0 o gallons Exact length of each trench too feet Trench Spacing: cl Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6inches
Maximum Trench Depth of: r% inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
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.
**If applicable: / understand the system type spec/led it different from the type specified on the application. / accept the specifcationr 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 is a change in ownership of the site. This
construction Authorization i ria with the eirovisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent v 5�5 Date: 3 )-11)%
Con lection Authorization Expiration Date: a 1 _13
HTE# y- LA31, Permit # -aD 00%
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: PP71U!50,. VD
ISSUED T0: 5 6YG 1 0n+pcS SUBDIVISION n If R� e�0,,T LOT #
Authorized State Agent H5 ��,Y6LTdW�S�oYii� Date:
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: V113i t9W" Design Flow (.1949): 'A0
Location of Site: Property Recorded:
Water Supply: ,Public❑ Individual E] Well
Evaluation Method Au r Boring ❑ Pi[ ❑cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet
Property ID:
Lot M
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Salim
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
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C,.��
v Nsltic
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To ss/s
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020
5
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Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948) 5
Available Space (.1945) Evaluated By:
System T s)1S hj Q SS Others Present:
Site LTAR , j