IPACHTE#15 -5-3nrclbo) Harnett County Department of Public Health 28543
Improvement Permit
A building permit cannot be issued with only an�Im,Provement Perm` _
PROPERTY LOCATION: ALaCaN *-1)
ISSUEp T0: Es ncLENuA jo'5Pav&2 SUBDIVISION LOT #
NEW X REPAIR❑ �xPANSION C1, Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: MAws 1-Tcsty& 1N -10
Proposed Wastewater System Type: a QEz\j c7,ON SYs ern
Projected Daily Flow: GPD
Number of bedrooms: _'2> Number of Occupants: 6 max
Basement []Yes �KNo
Pump Required: ❑Yes `-;KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �X Public ❑ Well Distance from well 100 het Permit valid for. Ive years
Permit conditions._ EE -110 expiration
Authorized State Agent: ti�� �J �k%'� Date: ko ti L7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of o ermiss. The permit holder is re ponsible for checking with appropriate goreming bodies in meeting their requirements. This
site is subject to evocation 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 provisiom of
the laws and Rules for Sewage Treatment and Dispmal and to conditions of this permit.
Construction Authorization
(Required for Building Permit]
The construction and installation requirements of Rules .1958, .1951, .1954, .1955, .1956, AST, .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: PROPERTY LOCATION: SNI-coN '91L
SUBDIVISION LOT #
Facility Type: T'tl AN 1On61 New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes VNo
Type of Wastewater System** ci-S°1 a 62 s-0 vc"n 0 N S 7.5 ^ (Initial) Wastewater Flow: O GPD
(See note below, if applicable ❑)
QL-Smlo 9-6,avC-Z'10„V (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size k O o 0 gallons
Pump Tank Size gallons
Pump Requirements: h. TON vs.
Conditions:
Exact length of each trench Q6 t.9 O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 11 inches
(Trench bottoms shall be level to +/•1/4”
in all directions)
GPM
Trench Spacing. feet on Center
Soil Cover. G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type spealed is different tom the type spealed on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This construction Authooz i voation if the sire plan, plat or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. Thu
Construction Authoruattio is subject to amiffimi wi h 0 the caws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: w �ka-wO Date: 10
Const ' n Authorization Expiration Date:
HTE # )i 5� M2A Permit # '� 65 Li3
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: FH�co �v
ISSUED TO: SUBDIVISION LOT #
r
Authorized State Agent: RL» lo�'v6L r��� Date: t�1S
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3 <3CXI0- Design Flow (.1949)x* A '
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Med i Bo 'ng ❑ Pit ❑ Cut
Type of Wastewater: -ZQ,,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
Soil
Depth IN.
.1956
Sapm
Class
.1944
Reur
Horiz
LS
C7 —1
� SL.
V>rS5- rb1nl9
e)%�Zscx-
z:�r1
53�tsc:L
��JUQ
tu`ICL7 i�3.�
Pf
,37�
Description Initial Repair System Other Factors (.1946):
systqffi Site Classification (.1948):
Available Space(. 1945) Evaluated By:U�
System Type(s)) Others Present: en c.t.`)06
Site LTAR 7