IPACNTE#
Harnett County Department of Public Health 30028
Improvement Permit
A building permit cannot be issued with only an GIra rovement Permit
r^ PROPERTY LOCATION: ZF%'l QD
ISSUED TO: EotL�G Fvra1L SUBDIVISION LOT #
NEW' REPAIR ❑ El(PAttS�ON ❑
Type of Structure: Mop - �3ti x'1
Proposed Wastewater System Type: CAw.j .4"Sl a 4 NL,
Projected Daily Flow: 3(00 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Dyes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
XFive years
❑ No expiration
Authorized State Agent: Date:`F 10l 1`b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss QQ-ther permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject m 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 pmyisiom of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit
The contraction and installation requirement of Rules .19SD..1957, .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 T0: GcQ,66 FPROPERTY LOCATION: RP �fl
SUBDIVISION LOT #
Facility Type: M ov. C3a'� z yo New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Co er.s G S o N 0,L, (Initial) Wastewater Flow: '—XO GPD
(See note below, if applicable ❑)
Vuwq—To (:Aray6vis014PaL� (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size voCo gallons Exact length of each trench Q_;C> feet Trench Spacing: i Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1q
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Soil Cover: 6 inches
inches (Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: l understand the ryrtem type rpeciled it different ham the type rpeciled on the application. / accept the rpecifcationr a/ thir permit
Owner/Legal Representative
Date:
This Construction Authorization is—Ablectt. 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 n subject to mmpli ft iter isiom of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 2.00 Date: `1110111,
ltstruction Authorization Expiration Date: "'11101'13
NTE# rc� - S-'A"�l Permit # . 00
Harnett County Depailment of Public Health
Site Sketch
PROPERTY LOCATON: Rl`l
ISSUED TO: �EZ-'VI N K SUBDIVISION
Authorized State Agen (-"6 a1-lesflp(1y
tiyt
aW�2e
aoaL
-- -�a
punct E
� b35
Date: 'A)10 IV
LOT #
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: 3 W)" Design Flow (.1949): aee ci Property Size:
Location of Site: Property Recorded: J
Water Supply: Public❑ Individual ❑ Well ❑ Spring
Evaluation Method
Augpr Boring El Pit ❑ Cut
Type of Wastewater: DC 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
`V
t
0 36
G
3(-ui
SBI s
th 5s� N P
r s
Description Initial Repair System Other Factors (.1946): S
System / Site Classification (.1948): p
Available Space (. 1945) { Evaluated By:�
System Type(s) Calf JpCOT4 Others Present:
Site LTAR T , S