IPACHrE# rs 5��� Ta Harnett County Department of Public Health 28634
Improvement Permit
A building permit cannot be issued with only an Improvement P"it
PROPERTY LOCATION: U oc-, ql-p
ISSUED TO: N r H C-0 c -L"' `t'O(L5 SUBDIVISION Qr> c -0 a4-7 LOT # r
NEVREPAIR ❑ E_ NSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: sC9 CELS xs3
Proposed Wastewater System Type: e ). /o -O V C i t U rJ 511 9 .
Projected Daily Flow: f-'%0 GPD
Number of bedrooms: 4— Number of Occupants: .max
Basement Dyes 3XNo
Pump Required: Dyes -;5CNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ;. Public ❑ Well Distance from well 10 0 het Permit valid for. ❑ Five years
Permit conditions: ❑ No expiration
Authorized State Agent: �� `�� F 1�S Date: S I6 11g' SEE ATTACHED SITE SKETCH
The issuance of this pennit by the Health Department in no way guarantees the issuan f oder permib, The permit hol er is isponsible 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 owmnMp 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 .1958, .1957, .1954, .1955, .1956, .1957, .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: H xia CIJ"-, I SW Se S0 Q. I) PROPERTY LOCATION: O O L s
SUBDIVISION Oar o>JC LOT 0
Facility Type: gCZ13 C5z-1 A50 New ❑ Expansion ❑ Repair
Basement? ❑ Yes '(!�(No Basement Fixt�{{s? El Yes �No
Type of Wastewater System** c/o Mt C) V US 7 (Initial) Wastewater Flow: LAI 0 GPD
(See note below, if applicable ❑) �So 7a V-4--0 , Sym (Repair)
3
Installation Requirements/Conditions [ Number of trenches
Septic Tank Size 10 od gallons Exact length of each trench 1 O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Y%''3 0 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing. I Feet on Center
Soil Cover. C - )R inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (IN(LUDING 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 specfled on the app/iciakir. / acrept the rpecihiationr of this permit
Date:
Thu Construction Authorization is subj "aif the site plan, plat or the intended use changes. The Construction Authorization dull not be transferred when there u a change in ownership of the sift. This
Construction Authorization is - t to corn w e is on, of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:Date: s b .t
struction Authorization Expiration Date: s 11 t I -
HTE# `J— 5-3-7I-�. Permit # 8639
Harnett County Department of Public Health
Site Sketch
C) C".
�vcch
PROPERTY LOCATON:!+.LJC
ISSUED TO: H C.o �5',C, d (L5 SUBDIVISION \ / P� O n \ LOT #
Authorized State Agenr.\\\�`e\c \ �s u L-, amt of �s� � Date: ---3LL
a L)s
L6UNSR:/51UC- 0M1v6-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility)--., Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual [3 Well
Evaluation Method 1(1 Bong ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(Ln.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure(
Texture
.1941
Consistence
Minemiciff
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Honz
Q5 (N i
S. 6
Q ,
y�1��l'vQ
6 s
v yzhjrlp
Description Initia air System Other Factors (.1946):
S s r Site Classification (.1948):
Available Space (.1945) Evaluated By: o.�
System Type(s) Others Present:
Site LTAR d