IPACHTE# l1~5-~-► 915 Harnett County Department of Public Health
Improvement Permit 2 6 8 7 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 'Mv~c~tata,PJ-0
ISSUED TO: "'(A IN %,f C o 1'5-5 471, C.-{ N O 11-\C_ SUBDIVISION Sv t ,~S2 ~~~e.~ LOT # S
NEW REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S 1;FO (moo 0"
Proposed Wastewater System Type: °lo s~oGNNt `S ~ySE rn
Projected Daily Flow: '3G0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes ';K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well LO feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: L-05 Date: 1 ~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua "bkkther permits. The permit holder is resp nsible 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 Improvem it 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, .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: --I r4 K C4 Ns ~2vcS 1OV,4 ~ ti PROPERTY LOCATION: V\ J- o u c4:~fl
SUBDIVISION lb v mcnG9AANa...L LOT #
facility Type: S New ❑ Expansion ❑ Repair
Basement? ❑ Yes "'R No Basement fixtures? ❑ Yes "F~<No
Type of Wastewater System** Qiaove--~voN S7SSG~ (Initial) Wastewater Flow: GPD
(See note below, if applicable
4~1c_ a10 -CS~vGO!7 ) 0 .ty (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1®O~ gallons Exact length of each trench 7 C'~ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. a z-t ~3G 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: 1_ ,-1B 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 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 specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to re n if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershin of the sire This
Construction Authorization is s to compliance 'Wkthe the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: N \ Date: _
Co ction Authorization Expiration Date:
HTE #
ISSUED TO:
5 Permit #
Harnett Connty Department of 11Vb1ic Health
Site Sketch
Authorized State Agent:
PROPERTY LOCATON: o u r,v,, J
,1,-) ~NJ G SUBDIVISION S u~~ERlrl~1:~ LOT # N ,
-~A (OLI-46E ~oa_ 1 Date:
2i-oz.
LENF O.
Department of Environment; Health and Natural Resources
Division of Environmental Health
Sheet:
On-Site Wastewater Section
Property ID:
Lot
SOIL/SITE EVALUATION
File
for ON-SITE 111A
Code:
STEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: I~ 1%~iL
Proposed Facility:' y -'S Design Flow (.19 9): Property Size:
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well [I S rm
Evaluation Method:b Auger ormg p g
Type of Wastewater: ❑ Pit ❑ Cut
ewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
1 .1940 .1941
L Landscape Horizon PR01
oil
E Position/ Depth .1941 1 1941 Soil
# Slope % (In,
Structure/ Consistence Wetness/
Texture Mineralo Color I
❑ Other
.1943
Soil
1956 .1944 I Profile
5apro Restr Class
Class Horiz & LTAR
y~
>t S C)- Fri I
1 111111m Rep 'r System Other Factors (.1946):
1945) S s Site Classification (.1948): ~J
,a.3 Evaluated By: ei!
Others Present: