IPACHTE #IL4°5`33`-1'5 Harnett County Department of Public Health 27940
Improvement Permit
A building permit cannot be issued with only an Improveme Permit
PROPERTY LOCATION: floc. Oh.
ISSUED TO: 1-4 mac, a.yG--<mS SUBDIVISION C�,a�c.r�o>\1 \ LOT #
NE&X REPAIR ❑ E3ERQNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: 3Cno GPD
Number of bedrooms: 32 Number of Occupants: C max
Basement ❑Yes No
Pump Required: ❑Yes >< No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 CDC feet Permit valid for Five years
Permit conditions: c� No expiration
Authorized State Agent:: Date: 6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ce of other permits. The permit holder is i 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 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
(Rewired 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: VA co CW C;N13 z5
Facility Type: Sig � "�- Sr) X New
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
Type of Wastewater System * *c� –� ®% lQ c sa v C t
(See note below, if applicable ❑)
PROPERTY LOCATION: p o <s
SUBDIVISION 3 o t4-� LOT # . J417
❑ Expansion ❑ Repair
X No
\ 0 'J �� �C. s r, (Initial) Wastewater Flow: 3 G ® GPD
�)_ 5 7 o �. 'ui(-" -, 0 r'1 (Repair)
Installation Requirements /Conditions Number of trenches 3
Septic Tank Size 100 Q3 gallons Exact length of each trench t-'d feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: \% –30 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: C 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: l understand the system type speciled is different from the type speciled on the application. l accept the specilcations of this permit.
Owner /Legal Repruutative Signature: Date:
This Construction Authorization is subject to jon if the site 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 to compliance t_hie`pin A4Zns oft ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 5 Date: 3
Construc Authorization Expiration Date:
HTE# ,L3- 5— '3657 3 Permit # a—TTA Q
Harnett County Department ent of F �iblic Health
Site Sketch
IM
M
C.iaG2tL-1 E-) ) LI- fDc2
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:
Proposed Facility: S 1s"r` Design Flow(. 1949): 3rC) TZ Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well ❑ Spring
Evaluation MethodX A er Bo 'ng ❑ 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
— 7
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
r
:5.3Y, 5CA—
'Ri cu1q�
V77L 5s)
Description
Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Present:
Available Space (.1945)
v
Y
System Type(s) —
`Others
Site LTAR
C