IPACHTE# t1-- 5 Harnett County Department of Public Health
Improvement Permit 2 6 7 3 8
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M A2G-S
ISSUED TO: SUBDIVISION P~~v~-V D LOT #
NEW 'X REPAI ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5qQ L» Proposed Wastewater System Type: 2-5-" to ~6~u t~~ o rt S ~5~
Projected Daily Flow: 3 4 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well )t Q 0 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 4l \-JQ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss of other permits. The permit holder respo Bible 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 Improv ent 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 .1950, .1952, .1954, .1955, .1956, .1951, .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: Gv sr~~Z~ Savo )c, E 1 Jc, PROPERTY LOCATION:
SUBDIVISION t~S~~GF02S> LOT #
Facility Type: S-FO New ❑ Expansion ❑ Repair
Basement? ❑ Yes >97, No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Q~S /a (ZG-DUcz; ~N S 1s,~ Gty, (Initial) Wastewater Flow: 3~® GPD
(See note below, if applicable
2S°1o Gov G,C ct rt SAS ;sn (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size VOA gallons Exact length of each trench N S o feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: feet on Center
Soil Cover: 12 '7(7 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 1OFT. 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 specifed is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representa i ature: Date:
This Construction Authorization is subject to revocation ' 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 is subjetLtocompliance with~tLoe proms Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: T2.C-,3Si Date:
Expiration Date:
HTE# Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: M A~-S
ISSUED TO: SUBDIVISION Q.sr~~oafl LOT # ~l
Authorized State Agent: U vFri 'Tc~ LXSOoR~ Date: \ 1, ~3I " - ~ M I
E,P A~
f I
~.o
P
i
L-(DC-)e- 00 7 0a_
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: `3 Gt(XZ M ~.5 Design Flow (.1949): X60.9
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method Au er Boring p Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
1940
Landsca
e H
i
OIL MORPHOLOGY
.1941
P
THER
ROFILE FACT
RS
E
#
p
Position/
Slope %
or
zon
Depth
(In.)
1941
Structure/
Texture
.1941
Consistence
Mineralo
.1942
Soil
Wetness/
Color
1943
Soil
D th IN.
1956
Sapro
Class
.1944 Profile
Restr Class
~
~ ~
Horiz & LTAR
i`
F
r G
6
Description
Initial Repair System
S stem
Other Factors (.1946):
Site Classification(
1948)
Available Space .1945)
.
:
Evalu
t
d B
S stem T
e(S)
S c tiZ
a
e
y:
~7
Oth
P
Site LTAR
ers
resent: