IPACHTE# %3° 311-7-11 Harnett County Department of Public Health 27659
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: tPrQ -�
ISSUED TO: Cu n- ) e> SD 1Ao nc-t, 'i xa C, SUBDIVISION LOT #
NEWX REPAIR ❑ EXP SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:'
Proposed Wastewater System Type: v m(1- O _?-60 a vc„, ®N
Projected Daily Flow: z`'► GPD
Number of bedrooms: Number of Occupants: '18 max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No '*May be required based on final location and elevations of facilities
Type of Water Suppl . ❑ Cy ommunity Public ❑ Well Distance from well 16 ® feet Permit valid for: XFive years
Permit conditions: — ~--� -� ._ o expiration
Authorized State Agent:: Date: 1 13 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ther permits. The permit holder is respons le 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 Improvemen rmit 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: u fy^\29QA=2N NQ \-ko fic C- PROPERTY LOCATION:
SUBDIVISION r LOT #
Facility Type: 55`0 C5 ( tea=) -New El Expansion ❑ Repair
Basement? El Yes No Basement Fixtures? ❑ Yes \9 No
Type of Wastewater System ** �vc g-" "o QL•S0 /" Z a,J'S -Y s,N (Initial) Wastewater Flow: �Q GPD
(See note below, if applicable ❑)
pU.nr,q® 2-S °�® )are (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size 10 (00 gallons Exact length of each trench 1Z"0 feet Trench Spacing: Feet on Center
Pump Tank Size L®® ® gallons Trenches shall be installed on contour at a Soil Cover: akIA° inches
Maximum Trench Depth of. -'ic( 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: Pv m t' YnP-d (i�G 0V' EGES )Gn inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE 10FT. 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 app lication. / accept the specipcations of this permit.
Owner /Legal Represents i ture: Date:
This Construction Authorization is subject to revocatio ' e site Iat, 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 subjecmpliance with ;4Lowcft:iiZtykand Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Cna5 Date:
Constructs thorization Expiration Date:
HTE# Permit # —'a:-7G59
Harnett County Department of Public Health
Site shetch
ISSUED 11— ("V
Authorized State Agent
PROPERTY LOCATON: n xz-,r-s L
km C. SUBDIVISION �5 A [-Ec39.2) LOT #
M.
I-Q) C, WO "p ?X-L
Mll
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: Date Evaluated: ��� ` \3
Proposed Facility: 1-\qOq -n Design Flow (.1949): `j Cl Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well ❑ Spring
Evaluation Method" Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: `, Sewage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
I
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 .)
.1956
Sapro
Class
.1944
Restr
Horiz
4
Lo
\
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):.
Available Space(. 1945) y Evaluated By:�\
System Type(s) V 5 l a Others Present:
Site LTAR