IPACHTE# t13- Harnett County Department of Public Health 27671
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: GQ;t,QEz --� 4 E.- S SUBDIVISION LOT #
NEWX REPAIR ❑ EXPION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: VC) ( 5
Proposed Wastewater System Type: °lo UGC o s
Projected Daily Flow: L E`8® GPD
Number of bedrooms: Number of Occupants: `� max
Basement ❑Yes No
Pump Required: Dyes No ❑ May be required based on final location and elevations of facilities
Type of Water-Sttppl • ❑ Community /�, Public El Well Distance from well S feet Permit valid for: Five years
Permit conditions: y- ``� `� ❑ No expiration
Authorized State Agent:: � ``��°'' ��5 Date: j AJ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance Is permits. The permit holder is res onsible 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 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 Permid
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: °a _- 0 E-L\ 1� � � �N� PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: S�Q 6�r E'd New ❑ Expansion ❑ Repair
Basement? X Yes ❑
Type of Wastewater System **
(See note below, if applicable
No Basement Fixtures? Yes ❑ No
0-S �GflvGC i7N S--) S'Gm (Initial) Wastewater Flow:
Sr-�5Sr;;.n (Repair)
d GPD
Installation Requirements /Conditions Number of trenches c;;
Septic Tank Size gallons Exact length of each trench 1 feet Trench Spacin� °1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: '' d— inches
Maximum Trench Depth of: \'� �'� 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: t) aiN �� 1 _ P�,N'L 5-5' LC. �m E5--S ille 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 Represen a ' n
This Construction Authorization is subject to
Construction Authorization is su 'e com
Authorized State Agent:
Date:
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
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Date:
ction Authorization Expiration Date:
H T E # 13-5 Permit # a -1 C'-� l
Harnett County Department of 11ablic Health
Site Sketch
PROPERTY LOCATO
ISSUED T0: SUBDIVISION
Authorized State Agent:
To L} i G 2Q.'�j
N X55 �
Date:
LOT #
-73b
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: t\ q,, ()Q V'� Design Flow (.1949): 4)0 �Z 0
Location of Site: Property Recorded: j1
Water Supply: Public[] Individual ❑ Well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: TliSewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
I & LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
, 2J
•S
3
Description
Initial
S ste
Repair System
Other Factors (.1946):
Site Classification (.1948): Q�
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
Site LTAR
, 2J