IPACHTE# I� 2i�s3y Harnett County Department of Public Health 30044
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
pp PROPERTY LOCATION: nsfi¢ f P�
ISSUED TO: �ti2Na 6p�t &11-Of1L5 iwt. SUBDIVISION LOT #
NEW'tXRE0 (❑ PAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 545 "nrjuj
Proposed Wastewater System Type: 0'6Yo R6pucso.,r 5c�tr
Projected Daily Flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: Q,_max
Basement ❑Yes XNo
Pump Required: []Yes K No ❑ N 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.: Date: s 3 I lei SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarante issuance 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, plat, m the intended use changes. mpmvement 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 concoction and installation requirements of Rules .1950, .1952, .1954, .1955..1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in acordance
with the attached system layout
ISSUED TO: 7%Baa-1 lGest f Z�-V ts"OF1t5 � %-4 PROPERTY LOCATION: NurL5E2y
SUBDIVISION Na100p5HltLE LOT #
Facility Type: S C Q Css n56p, New ❑ Expansion ❑ Repair
Basement? ❑ Yes )�t No Basement Fixtures? ❑ Yes ❑ ,SN+�o� �
Type of Wastewater System" a% S�L
Govc,r to w �'5'sE. (Initial) Wastewater Flow:3,0 GPD
(See note below, if applicable ❑)
Pu -,FT- `-),5°%, REO. SyS. (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size a oO gallons Exact length of each trench 1 -.1,O feet Trench Spacing: 01 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. G- 1'q inches
Maximum Trench Depth of. 14 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. TDH vs. GPM
Aggregate Depth:
Conditions:
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: / anderstand the s}rtem type specified it different from the type speciled on the application. / accept the sifecilcabons of this permit.
Representative Signature:
Construction Authorization
plat or the intended use changes. The Construction Authorization shall not be transfers
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: yjr�>'6 Date: 5
,bwruction Authorization Expiration Date:
Date:
SEE ATTACHED SITE SKETCH
NTE# ID'S L -13N31} Permit # 3COLi1 �
Harnett County Department of Fiblic Health
Site Sketch
PROPERTY LOCATON: ,V 02 E2 Q,n
ISSUED TO: E ANG SUBDIVISION qoos,-\% z£LOT #
Authorized State Agent: ¢6R5 (oLt4C4c, '(o"500fjy> Date: 5�31 Ig
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Deparnnent 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: ? O'r Design Flow 1.1949):,�v A
Location of Site: Property Recorded: c.T
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Au or ng ❑ Pit ❑ Cut
Type of Wastev : 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
Mineralo
.1942
Soil
Wetness/
Color
.1943.1956
Soil
D th (M.)
Sapro
Class
.1944
Restr
Horiz
1s
%-moi
G t S
(fit N5
S�
_Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):5
Available Space (.1945) Evaluated By:
System Type(s) 3- /D Tfq 3S Others Present:
Site LTAR