IPACHTE# 1--�--5- mss Harnett County Department of Public Health 27763
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: \4+z - %-Q
ISSUED TO: SUBDIVISION C QA�3 LOT # `i`�
NEWX REPAIR ❑ WANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: °/a 9-GD g Gii 0 Y� '
Projected Daily Flow: L Q GPD
Number of bedrooms: L-i Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 45, Public ❑ Well Distance from well ) DO feet Permit valid for: X Five years
Permit conditions: ---- _� ❑ No expiration
Authorized State Agent:: IN 46*i'S Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance t r permits. The permit holder is r sponsible 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 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, .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: s LL., <t - ` o fps PROPERTY LOCATION: IVI c�-� L ep s `Zb
SUBDIVISION CPQ -oz-1 N p• C`� w .5 LOT # 42-
Facility Type: 9F0 ( 6� , New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? El Yes No
Type of Wastewater System ** `1S plo �Eou 0 JQ
(See note below, if applicable ❑) o
coo (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size 1® ®O gallons Exact length of each trench ES® feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: X3-1 i inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: li� O GPD
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
* *If applicable: /understand the system type specified is different from the type specified on the app /ication. / accept the specipcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to r—evlacn if the sit n, 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 i �i"to�compliancee hhe 'lions Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: `c S Date: 2 l 4
Con 'on Authorization Expiration Date: v
FITE## !3 S Permit # ; ik3
Harnett County DepaAment of alblic Health
Site Sketch
PROPERTY LOCATON: \� } ".A- �-y CA-6
ISSUED TO: g- � d �� SUBDIVISION CP C LII U, O g,<S LOT #
Authorized State Agent: Date: X3613
da
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LZC
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: l
Address: Date Evaluated:` J�'���3
Proposed Facility: LA jj Q ClsnS Design Flow (.1949): 3a$ 0 c
Location of Site: Property Recorded:
Water Supply: ,, Public❑ Individual [I Well
Evaluation Method:t�Aug r Boring ❑ Pit ❑ Cut
Type of Wastewater:: ,, ew'age ❑ 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
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
De th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
L 5
"�
G
CC
6
�
G
Description
Initial
S ystem
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: `
Available Space (.1945)
V
System Type(s)
5 'Jc'
ZL
Site LTAR
i��4�o ~L 33