IPACHTE# \S-5--yni 1 Harnett County Department of Public Health 28614
Improvement Permit
A building permit cannot be issued with only an mprovement Permit /�
t� PROPERTY LOCATION: v E Ck\ i P Vi
ISSUED TO: Qt-t�Cf Rv -'i t-Q%t2 SUBDIVISION Tc1Pa-o LOT # SO
NEW*❑ E SION [ISite Improvements required prior to Construction Authorization Issuance:
Type of Structure: --REPAIR �
Proposed Wastewater System Type: aS�o V e7 ic>a o sv ssGM
Projected Daily Flow: 3Co0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement []Yes No
Pump Required: 0Y es No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public El Well Distance from well \ � Q feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: — Date: 11 I city 11� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan other permits. The permit holder i respo 1 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 Imprommen mit 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, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shill be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: Q0v -zet s`0 PROPERTY LOCATION: Cz-
/ SUBDIVISION Wl V LA CC- LOT # i C>'
Facility Type: ��9`�''s/ l� New ❑ Expansion ❑ Repair
Basement? ❑ Yes N No Basement Fixt res? ❑ Yes boo
Type of Wastewater System**ci Flo GoyCr��CJTJ s�5 , 6tT" (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) o/
aS C - o � � � 5- (Repair)
Installation RequirementsXonditions Number of trenches I
Septic Tank Size t O e gallons Exact length of each trench I SCb feet Trench Spacing: cI Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6 T`�( inches
Maximum Trench Depth of. 1%-30 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
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
inches total
*If applicable: / ondeatand the system type rpeci/ed it different from the type speciled on the app/icatiom / accept the rpecih7ations of this permit
Uwner/Legal Representat ature: Date:
This construction Authorization is subject to revoca a site plan, plat or the intended use changes. The construction Authorization shall not he transferred when there is a change in ownership of the site. This
construction Authorization is sukj@Connpliamce with ow a laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: RES35 Date: 5i Q's -1 yS'
Constru s,(uthcrization Expiration Date: t O
NTE# �5 -5 �;-1
Permit #
Harnett County Department of 11�iblic Health
Site Sketch
Authorized State Agent:
Date:
—� 1NG6,, R.P
HOVSC-
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ISSUED TO: ��� �� P C
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PROPERTY LO(ATON:
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LOT# 10
Authorized State Agent:
Date:
—� 1NG6,, R.P
HOVSC-
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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: j 1yQZYLn Design Flow (.1949):56d„
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: aAugeiaoring ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
.1941
Consistence
Mineralog
.1942
Soil
Wetness/
Color
.1943
Soil
th W.
.1956
Sapro
Class
.1944
RestrTexture
Horiz
Profile
C_ C_
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By: C'C
System Type(s)Others Present:
Site LTAR t