IPACNTE# ��- �`+� 1
Harnett County Department of Public Health
30140
Improvement Permit
A building permit cannot be issued with only in Improvement Permit
ISSUED TO:
PROPERTY LOCATION:_ '1 OE Cc its Ns 12D
LG2
NEWW� REPAIR ❑
SUBDIVISION L- tr jo o�u, LOT # 1
EXPANSION f7� Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 'Sw e RCflVGCs o s 3YxCs
Projected Daily Flow: c8.4d
GPD
Number of bedrooms: a-
9�
Number of Occupants: =1max
Basement ❑Yes 'X40
Pump Required: ❑Yes -, 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.
❑ Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: \�«5 Date: 7 l 1$ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the other permits. The permit holdef is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to remotion 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 Dermic.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, ASS, .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: j L,o PROPERTY LOCATION: -ZO6 C�rLL�NS as
//,, SUBDIVISION L'o+p Zp,912r-U LOT # 1
Facility Type: in th Aa oMC Uy x�� New ❑ Expansion ❑ Repair
Basement? ❑ Yes lik- No Basement Fixtures? ❑ Yes ❑ No cs<
Type of Wastewater System"* BSyo (Initial) Wastewater flow: x210 GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions
Septic Tank Size Too O gallons
Pump Tank Size gallons
Pump Requirements: h. TDH vs.
Conditions:
Number of trenches s
Exact length of each trench s s O feet
Trenches shall be installed on contour at a
Maximum Trench Depth oL %'q -I4 inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. C inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
`If applicable• / understand the system type spec/led /r different from the type spealed on the app/kation. / accept the rpecilcationr of this permit.
Owner/legal Representative Signature: Date:
This Construction Authoma'to revomdon if the site plan, plat or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authomatio to comp i i ' ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 7 lQ
Cons fition Authorization Expiration Date: 7
HTE# k3 -5-g>431 ) Permit # 34SZ1C)
Harnett County Department of Public Health
Site Sketch
�-+� PROPERTY LO(ATON: 3a G C01-L1,3,ISSUED TO:y 0 C pC%1APIN � P`ll-od SUBDIVISION Ltowo -JvLRL>.L LOT # IL
AuthorizedState Agent
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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: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method Au gr Boling ❑ Pit ❑ Cut
Type of Wastewater: L 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
,1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth(IN .)
Sapro
Class
.1944
Resir
Horiz
,L
Description Initial Repair System Other Factors (.1946):
Systerp Site Classification (.1948): t7L
Available Space (.1945) Evaluated By:Cn(
System Type(s) 3 w Others Present:
Site LTAR 'ti N