IPACHTE# 1 `� 5-94�lg Harnett County Department of Public Health 30075
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ocii Yi
ISSUED TO: �� Lp' e- ci eCIL c SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 302 �ovx$py SCS
Proposed Wastewater System Type: Qxj�j
Projected Daily Flow: 4:i(aC) GPD
Number of bedrooms: �u Number of Occupants: C, max
Basement ❑Yes RIO
Pump Required: ❑Yes ❑ No ald N y be based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well N feet Permit valid for: ILN'Fve years
Permit conditions: ❑ No expiration
Authorized State Agent: C/ l tol_�,��!✓ '/'s Date: v('o 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 responsible 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 Permjtl
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: PROPERTY LOCATION: N4cr-eiy--on lLURdf52 I� �
�
— SUBDIVISION V LOT #
Facility Type: 0 S( 5x17 L -New ❑ Expansion ❑ Repair
Basement? ❑ Yes CLF o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"(Initial) Wastewater Flow: ��% GPD
(See note below, if applicable El)
� 5 (Repair)
Installation Requirements/Conditions Number of trenche 3
Septic Tank Size I�_ gallons Exact length of each trench 1 (3® feet
Pump Tank Size gallons Trenches shall be installed on contour ) at a
Maximum Trench Depth of. Q2 LJ— inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: s"� h. TDH vs. leA GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. f inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
T,A inches below pipe
Aggregate Depth: JJ -k inches above pipe
lV bk inches total
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.
*If applicable: /understand the rydtem typerpeciled is different from the type rpeciled on the application. / accept the rpecilcationr of this permit
Owner/legal Representative Sign
This construction Authorization is subject to
plan, plat. or
use changes. The
Date:
not be transferred when there is a chane,
tomtruction Authoritarian is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this Penni. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: `�3 Y6 I
(—\YU ,atr�onstruction Authorization Expiration Date: �� U
HTE# Permit# 3<Doq5
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:— (;s (L 195o>
ISSUED TO: SUBDIVISION LOT #
Authorized State AgentDate: _gla�Ol�
kk-:>� asy0�zl� R
A
�\ 5-T2�rbvtl a >v
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40 x 50t
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Ownerq plicant b ,"j (z
Address: of'e,a t t.� - Date Evaluated: OC'119l6300
Proposed Facility: s� — Design Flow (.1949): _Z0 01-11)
Location of Site: Property Recorded: f'26
Water Supply: ublic Individual ❑ Well
Evaluation Method: uger B ' g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: F oa r'rc__-
❑ Spring ❑ Other
❑ Mixed
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.I
.1956
Sapro
Class
.1944
Restr
Horiz
44
L6r
P S
L � �
v -la
Fdlt LS
04-N5
qx-
IRS
3L F
B rA
3
a3
Lz>
Description Initial air System Other Factors (.1946):
SystemSite Classification. 1948): ZW-&,\b sus4" �e_
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR