IPACKE# tS,75-355�,Zl Harnett County Department of Public Health 2
• #i
Improvement Permit
A building permit cannot be issued with only an `Improvement Permit
PROPERTY LOCATION: w 1Q`v fq
ISSUE TO: G-c�y6ti G-L4C�c<�rsC 0 SUBDIVISION `wloMs>,5 et2 LOT # f �.
NEW REPAIR ❑ _ -MPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 ;PO
Proposed Wastewater System Type: o ") C/" v m m r\
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: (d max
Basement [-]Yes No
Pump Required;-Aes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well L00 feet Permit valid for: Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent:: 7nkZZ, Date: -Z� 1) 1.)5 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the o� f other permits. The permit holder is responsible 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 Improve t 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
(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: C -RN aze"6 �qs PROPERTY LOCATION: \A1Z C. C-0 N NASA-/
SUBDIVISION kpmr,;,,5 00- LOT # �-4-
Facility Type: ���-�`6 0� New ❑ Expansion ❑ Repair
Basement? ❑ Yes '19,No Basement Fixtures? ❑ Yes "RNo
Type of Wastewater System** 10 ,csrt S `)s's (Initial) Wastewater Flow: plod GPD
(See note below, if applicable ❑)
M
Installation Requirements/Conditions
Septic Tank Size l ®® gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Repair)
Number of trenches G
Exact length of each trench `1® feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 1%'-c—Z inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: G -'-Z 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 IOFT. 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 speciped is different from the type .specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is su lec on if the 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
Construction Authorization iysubject to liance with the ' 'ons of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Q9- S Date: ?, )
Authorization Expiration Date:
HTE# Permit # �� i� lo
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 4A%Q)qC--0Tj \4\-)
ISSUEDTO: SUBDIVISION LOT # �2,
d
Authorized State Agent: Date: 6 )S-
�
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:-, S09,1`� Design Flow (.1949):���y(cc
Location of Site:Property Recorded:
Water Supply: pubic❑ Individual El well
Evaluation Method�Aug r Bo Sing ❑ Pit ❑Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ 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
Structures
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness,'
Color
1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
L5
'
C)
C.
P�
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):'Q.S
Available Space (.1945) U Evaluated By:Qr-�-
System Type(s)Others Present:
Site LTAR I 1-a