IPACHTE# �-5 `'3 1 Harnett County Department of Public Health 30029
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Nu; 1%*4
ISSUED TO: LC - F -SUBDIVISION — LOT # 1
NEW REPAIR ❑ EXPANSION\❑
Type ofStructure: Moou _ory y
Proposed Wastewater System Type:
Projected Daily Flow: 360 GPD
Number of bedrooms: -,5, Number of Occupants: Amax
Basement Dyes XNo
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 valid for. XFive years
Permit conditions: ❑ No expiration
Authorized State Agent:: Q 61 s 5 Date: �h (701 19 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees uance of other permits. The permit hol>sponsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocation if the site plan, plat, or the intended use changes. Then comment 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 .1958, .1952, .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 TO: �2 \ �a ca svy L --GE- PROPERTY LOCATION: NG3 l �I
SUBDIVISION LOT #
Facility Type: �o v Log �31� �t l� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System** 265% �kG 'iuS� 0 a J '=a (Initial) Wastewater Flow: 3Oa GPD
(See note below, if applicable ❑) asolo
'Roo • Sys . (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size LD o'z� gallons Exact length of each trench 15 d feet Trench Spacing: C1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: C 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: ft. TON vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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: / understand the ryrtem type specified is different from the type tpecifed on the app/iratiom / accept the rperifcations o/ this permit
Representative
Date:
This Construction Authorization is sub'ttt to rerocation if the site plan, plat or the intended we changes. The Construction Authorintion shall net be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compli revisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: why Date: '
Constr'd8w Authorization Expiration Date:
HTE# 1 "� -5-'+364 1
Permit # 30(ml
Harnett County Department of INiblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: — LGE SUBDIVISION LOT #
Authorized State Agent L,,4&—L7) W-�<-5 �0 Date: 11
rvca� r.l
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: '��' M Design Flow (.1949): '3,63 d
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: '�Sc 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.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minemlo y
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Rem
Horiz
L5 Y
4k,
T`
3
04+l
6 SL
JPti -j5)
5 6
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948ra
Available Space (.1945) 1 J Evaluated Bya,(
System Typo(s) 5 l I ),C9 Others Present:
Site LTAR 6 C;