IPACHarnett o Department of Public '•,lth 28505-
Improvement
i-
Improvement Permit
A building permit cannot be issued with only an Improvement Per
PROPERTY LOCATION:vH,sN
ISSUED TO. Tn ZY �- 1)L0SUBDIVISION Q) LOT # S
NEV14 REPAIR ANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `�'� C1 L.) )
Proposed Wastewater System Ty e: v rrQ , -J
Projected Daily Flow: 3�� GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes —,-;F!50o,
Pump Require.es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community,,-o-�Public ❑ Well Distance from wellL0 ® feet
Permit conditioBs�_
Permit valid for: Five years
❑ No expiration
Authorized State Agent:: �» Date: f i SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i of other permits. The permit hold r is resp nsible 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
(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: �-� �LC%mES PROPERTY LOCATION:y ��N �-
SUBDIVISION CSF, n0 NS LOT # t33
Facility Type: 5� �`1 � '/ New ❑ Expansion ❑ Repair
Basement? ❑ Yes -_I�( No Basement Fixtures? ❑dYesNo
Type of Wastewater System** u nrQ 3'\J CNN 6 (Initial) Wastewater Flow: 14 Q GPD
(See note below, if applicable ❑)
! u ng_ NO (Repair)
Installation Requirements/Conditions Number of trenches C
Septic Tank Size 10 ® G gallons Exact length of each trench feet
Pump Tank Size ° ®d a gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: \t 'all inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: c)l Feet on Center
Soil Cover: C° "la 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: / understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation 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 Authorizatio �to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:SZ:�� Date: -7
nstruction Authorization Expiration Date: i n ZL,4
HTE# �S-S-3GS4L Permit # M S(J—�
Harnett County Department of Public Health
Site Sketch
C— PROPERTY LO(ATON:
ISSUED TO:
C5 SUBDIVISION LOT # 133
Authorized State Agent:!��;-�s
C Da--
-1 0 f>c-
C) C-- NIP � F— rz_ 1-4
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: 1
Proposed Facility: 75 Design Flow (I 36®Property Size:
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well ❑ Spring
Evaluation Method;EtAu Bor ng ❑ Pit ❑ Cut
Type of Wastewater: i 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
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
1
1Cj—
Q
c
six G�
�n 5s��('
• N
Description Initial Repair System Other Factors (.1946):
Systera Site Classification (1948):
Available Space(. 1945) Evaluated By:
System Type(s) a Others Present:
Site LTAR .>n '•t