IPACHTE# i5-53-1 113 Harnett County Department of Public Health 28603
Improvement Permit
A building permit cannot be issued with only an Improvement Pert�t
pp PROPERTY LOCATION: WN17 K. ,
ISSUED TO: S 1G,404UQY- Not+Nf— 3>Q-%Z.%J, )} UUBDIVISION LOT # t
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: S V9 �`
Proposed Wastewater system System Ty�
Projected Daily Flow: t—A-M GPD
Number of bedrooms: L-1 Number of Occupants: max
Basement ❑Yes >9Z No
Site Improvements required prior to Construction Authorization Issuance:
Pump RequiropOes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community )< Public ❑ Well Distance from well lCpo feet Permit valid for. XIFive years
Permit conditions: ❑ No expiration
Authorized State Agent: ii� '�5 Date: I,
Icl l� SEE ATTACHED SITE SKETCH
t
The issuance of this permit by the Health Department in no way guarantees e e ce mit hold of other permits. The perponsible far checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it 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 in 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 imtallation requirement of Rules .1950, AM, .1954, .1955, .1956, AM. ASIA 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: S Su 126-1!5 PROPERTY LOCATION: �A
SUBDIVISION
Facility Type: SCroC x�,i New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'K No BaseIDedlixtures? ❑ Yes x,110
Type of Wastewater System** P)ul F
(See note below, if applicable ❑) /
W --QP (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size s 000 gallons Exact length of each trench 1 2k.D feet
Pump Tank Size t Oo O gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
LOT # I
(Initial) Wastewater Flow: Ly*�Q GPD
Trench Spacing: 0\ Feet on Center
Soil Cover: G" 1a 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• / undewand the #stem type spedTed it different from the type spe6hed on the app/icadon. / accept the specibcationr of this permit
Owner/Legal
Date:
This Construction Authorization is mbje onuoo if the site plan, plat or the intended me changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is subj to mmpluno to `rraossions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: -N-k-,9613 Date: R 1S
ruction Authorization Expiration Date: Is, 6 1 w7
HTE# Permit # ' '` QZZ3
ISSUED TO: S
Authorized State Agent:
Harnett County Department of 1-�iblic Health
Site Sketch
PROPERTY LOCATON: !tel
35-� ��ont �u u SUBDIVISION LOT#
r
aoq
U V ESL,I F�l O GLca„� �,�9
-OLA 1ON,
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Date: t � 16 I ) 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:
Pro ised Facility: L\ ��1 Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method;�uger Zing ❑ Pit ❑ Cut
Type of Wastewater: 79 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
Restr
Horiz
55
c�_�
SSjX SLL
ll
� 515P
�
3�
a
a 3S
I`I 03
5Bx '5�
Va 5)-
3
Description Initial R air System Other Factors (.1946):
S to Site Classification (.1948)Q-5
Available Space .1945) Evaluated By:O—,
System Type(s) ^ 0 Others Present:
Site LTAR