IPACHTE# Harnett County Department of Public Health .30006
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Docs
ISSUEDT0: H RE Cacs`gVGEoa5 1^G SUBDIVISION OAKmO-TT LOT#no
QrN
NEW-8kREPAIR❑ E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 570 QL46 A15W
Proposed Wastewater System Type: ZZ a/e Couc.Stoii SyS-_t,.,
Projected Daily flow: L-,-% Z) GPD
Number of bedrooms: 14 Number of Occupants: max
Basement []Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
(Five years
❑ No expiration
Authorized State Agent: l U Date: 3 1 19 )1"- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t m Wk,, of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plaL 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 Ruffs far 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 meL Systems shall be installed in accordance
with the attached system hyouL nn
ISSUED TO: N"11 Gr5<2vC Q(tb PROPERTY LOCATION: Oo<s
SUBDIVISION O PvKrNo aSy LOT # Na
Fadlity Type: SFp ��iD*xSa� New ❑ Expansion ❑ Repair
Basement? ❑ Yes )5k No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Q -Sl o `-6,puciv \ve.z (Initial) Wastewater Flow: L060 GPD
(See note below, if applicable ❑)
OS"1r '12.6O, SYS. (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size t o O o gallons Exact length of each trench aO O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 11 inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: �_ Feet on Center
Soil Cover: 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: / understand the ryrtem tire spedled it different hum the type rpecifed on the application. / accept the Jpeuh'cationr of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if 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 is su le ce with visions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Of�a-15 Date: 3"
1'
o ion Authorization Expiration Date: 3 �9 a3
HTE# Permit # 30009
Harnett County Department of lNiblic Health
Site Sketch
PROPERTY LOCATON: 17 eca �D
ISSUED TO: H b GUNS 4NGi M6 //�__vG SUBDIVISION Ci\Pc MO,T LOT # YBO
Authorized State Agent: 4 5 �P� Vf/2 SOt f Sao(iFJ Date: 3'
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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
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual E]Well E]Spring
Evaluation Method_.h Au er B ring F1Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ 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.)
.1956
Sapro
Class
.1944
Restr
Horiz
L5
�-L)4
L5
\TV -4 h5 M
o -L
C� LS
,-, Wl>,P
S,
Description Initial Repair System Other Factors (.1946):' q
S stet Site Classification (.1948}
Available Space (.1945) V Evaluated By: Ql�
System Type(s) 41.5 / `U Others Present: —'
Site LTAR .8