IPACHTE# Harnett County Department of Public Health 30013
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
p Gly\� PROPERTY LOCATION: G3� 1FU2. 1�r4 .
ISSUED TO: i � 5 o � N o t YLS SUBDIVISION S V (11 CIL-0 sJ LOT # �L
NEW JPAAIIRt❑�O x t NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ll 11..
Proposed Wastewater System,�lyj'pe: rd `c/yo ii C'Twrft SyJ-VEr^
Projected Daily Flow: L46 GPD
Number of bedrooms: t• Number of Occupants: max
Basement ❑Yes ANO
Pump Required: ❑Yes X 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 conditions:
Permit valid for.
Five years
❑ No expiration
Authorized State Agent: Date: 31 ].,n I % 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 lesponsible for checking 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 .1950, .1952, .1951, .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:V"CC-%e to *t Cy UM ��OMGS PROPERTY LOCATION:
SUBDIVISION l rn(s` l \rf LOT # �3
Facility Type: SFS C6CrAL-iS) New ❑ Expansion ❑ Repair
Basement? ❑ Yes '�Q No B semggt fixtures? 1:1 Yes cp" No
Type of Wastewater System** '�"�D KC—.OVCn CON �y57 \ (Initial) Wastewater Flow: yid GPD
(See note below, if applicable ❑)
0
Conditions: ? fLrL," a r
Trench Spacing: _� Feet on Center
Soil Cover._ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: inches above pipe
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: / nnderrtand the r}rtem type rpeafed it different from the type rpeciled on the app/icadon. / accept the rpeuTrationr of this permit.
Date:
This construction Authorization is subject to tion 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 is subject to complianc`with ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: `-» 5 Date:
Authorization ExDiration Date:
Jr
'hyo l0
K60 I (Repair)
Installation Requirements/Conditions
Number of trenches i
Septic Tank Size 1 00C)
gallons
Exact length of each trench feet
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: %% inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements:
ft. TON vs.
GPM
Conditions: ? fLrL," a r
Trench Spacing: _� Feet on Center
Soil Cover._ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: inches above pipe
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: / nnderrtand the r}rtem type rpeafed it different from the type rpeciled on the app/icadon. / accept the rpeuTrationr of this permit.
Date:
This construction Authorization is subject to tion 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 is subject to complianc`with ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: `-» 5 Date:
Authorization ExDiration Date:
Jr
HTE# 5- L133�'j
Harnett County Department
Site Sketch
Permit # 30013
of 1'�iblic Health
GUST Om PEA V��F1jL LN,
PROPERTY LOfATON:
ISSUED TO: HCM65 SUBDIVISION LOT # r),3
Authorized State Agent %d 5 GLt116L OLOLX300(- Date: 3I
Vs
41
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: ING3cDR,t4\ Design Flow (.1949): L�S10
Location of Site: - Property Recorded:
Water Supply:Public❑ Individual [_1Well
Evaluation Method Auger Bonng ❑ Pit ❑ Cut
Type of Wastewater: 1-3-1sewage ❑ 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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
LS
'JaaII
r
L5
4'Fq r'5;hQ
n
7 n4
2
C_)-b}l
G c.s
wm ry\r'kjP
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948): S
Available Space (.1945) V Evaluated By: C�
System Type(s) Others Present:
Site LTAR