IPACHTE#'Sy3�3 Harnett County Department of Public Health 28302
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C0FC'E2 LZOe
ISSUED T0: ��� �u�U®(�s�'; N SUBDIVISION LFA jm+,�6P F_yt"rn r -y LOT #
NEW REPAIR ❑ EXPANS ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type Xtructure: S q0 Y1
Proposed Wastewater System Type: 5"�ta EU VG Ly 3t< �n
Projected Daily Flow: Co C>0 GPD
Number of bedrooms: —4:5 Number of Occupants: o max
Basement []Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Co !unity Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ��� ❑ No expiration
Authorized State Agent:: Date: z) I 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 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 In ovement 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 T0: "'G-- PROPERTY LOCATION:
SUBDIVISION i; LOT # 4
Facility Type: c� (' 5 �ctl�� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes NN
oType of Wastewater System** a -s-"", U' � ty yiST � (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
c�E>
C- DV C::.� 0 `,J (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 0 gallons Exact length of each trench ` "10 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: C- inches
Maximum Trench Depth of: 1Y—' 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: 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 Representative Signature: Date:
This Construction Authorization is subject to revo ' 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 is subjeko�mpliance wit a isio f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
'f='� '� Date: "a I )� Cl
Authorization Expiration Date:
HTE # Permit #
Harnett County Department of IN-blic Health
Site Sketch
PROPERTY LOCATON: �eqcrl- �—O<,' e
ISSUED TO: SUBDIVISION \4C-Z�s6Q,71-:6 LOT #
Authorized State Agent: Date:
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: 15 tDIZA Design Flow (.1949): 60C t)
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auger Boring ❑ Pit ❑Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
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
1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
1
p
C14A
D
v v?l
Description Initial Re air System Other Factors (.1946):
Systeiv Site Classification (.1948): l
Available Space (.1945) Evaluated By,=.�
System Type(s) —`/ Others Present:
Site LTAR . Z ,CZ
i .sl 'n0 ,*X3 a'