IPACHTE# Harnett County Department of Public Health 30012
Improvement Permit
A building permit cannot be issued with only an Improvement Permit r�
Q PROPERTY LOCATION: Sy N1/�+(srl L\v OCL.
ISSUED T0: s Gam° S 5-% o+-+ o < J
NEW SUBDIVISION S v y .� L% 4 LOT #
Type of Structure: O� ❑ o REPAIR P ANSION Site Improvements required prior to Construction Authorization Issuance:
S�� �Saat�,
Proposed Wastewater System T)Te: a9`!a 9-6--mC—�v\orJ 3�/151TsA �Qvna
Projected Daily Flow: L'Vby GPD
Number of bedrooms: L Number of Occupants: - max
Basement ❑YesNo
Pump Required:�fys 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. Five years
Permit conditions: ❑ No expiration
Authorized State Agent::�� " 1.6-2i5 Date: -5 ) ) Y$ SEE ATTACHED SITE SKETCH
ava
The issuance of this permit by the Health Department in no way gutees the issuance of other permits. The permit holder is responsillile 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
squired for Building Permjt)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, ASS. 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 T0R(L C'L%6 `0 ri CvX ° M PROPERTY LOCATION: S v^
��,� SUBDIVISION svr--NnGZIAo LOT# 3�
Facility Type:�gr„t� SF<_LSC��O� New ❑ Expansion ❑ Repair
Basement? ❑ Yes )!a No Basement Fixtures? ❑ Y,Ae{ ❑ No
Type of Wastewater System" PU ntfTo 14.0%/ 60510-1 57556 (Initial) Wastewater Flow: L WO GPD
(See note below, if applicable ❑)
V U r.\F 1 6 lc ( 5)r -;'- _(Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size t 00 U gallons Exact length of each trench NO feet Trench Spacing:�— Feet on Center
Pump Tank Size 7O gallons Trenches shall be installed on contour at a Soil Cover. so inches
Maximum Trench Depth of. )— inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/_1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATIONS 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 system type spedfved it different from the type specified on the app/radon. / accept the speciflwionr of thif permit.
Representative
Construction Authorization is
to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be swifter
IlWiatt with the provisions of the Caws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: kG-ti-I Date: _3
Construction Authorization Expiration Date:
Date:
SEE ATrACHED SITE SKETCH
HTE# - S -Ll -,5N1 Permit # 3O01a
Harnett Countv Department of ll�iblic Health
Site Sketch
rPROPERTY LOCATON: SUMMEZLIN Q6L.
ISSUED T0: ��G���`aN �UYac•. �a/ri65 SUBDIVISION SUrnmC-rLL�N LOT # 3i
Authorized State Aeent abr� LO Ll V Erz, TO LKSSl0 �� Date:
159
S V t+n4-4ZL N OR\Y E
I a6l
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:LA g'Z`ZN'\ Design Flow (.1949): L1%Q
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method:Aug Bo ing ❑ 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
Position/
Slope%
Horizon
Depth
(in J
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
LS
5
\F -.q) 1NC,
s X
\r9,
Description Initial R pair System Other Factors (.1946):
Systejn Site Classification (.1948):5
Available Space It Evaluated By:M)
S stem T e(s) r<'2" c Others Present:
Site LTAR
y1`
iX QOCI x.40