IPACHTE# Harnett County Department of Public Health 28752
Improvement Permit
A building permit cannot be issued with only an Improvement Pe
rpyt
PROPERTY LOCATIOI) S1yGfrN
ISSUED TO: o' x C-s-Lic2,� NaME5 SUBDIVISION 0W5 y o t sS LOT # S
NEWS S REPAIR 494 by bi(ISION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: l JJ
Proposed Wastewater Sy in Type: 1ST'/, UGStns,1 S Leff
Projected Daily flow. Sem GPD
Number of bedrooms: �3 Number of Occupants: -Cc, max
Basement ❑Yes E9,tio
Pump Required: ❑Yes No 1:1 May be required based on final location and eleYations of facilities
Type of Water Supply: ❑ Community �K Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
Five years
❑ No expiration
Authorized State Agent: sif)' S Date: vI 1� I1 L SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees hahv n< other permits. The permit holdei is respoiible kr decking 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 ment 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 .1958, .1952, .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: 't—z, CT—` PROPERTY LOCATION: tN SZ
SUBDIVISIO045 LOT # I
facility Type: S�flCs`S"k6D New ❑ Expansion ❑ Repair
Basement? ❑ YesNo aBaz�em�enntFixturebeO Yes XNo
Type of Wastewater System** o (Initial) Wastewater Flow: 34 -Q) GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 10 o C gallons Exact length of each trench 1-4 O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: a0^30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. "8 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFL FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable / undeatand the system type spec/bed it different from the type specified on the app/icad A / accept the tpec/lcatims of this permit
Date:
This construction Authorization is subjectro if the site plan, plat or the intended use danger. The construction Authorization shall not be imnderred when there is a flange in ownership of the site. This
construction Authorization is compliance wit ro the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 9-6 3S Date: cli )7 11 t
Constyu11ion Authorization Expiration Date: ffl r
HTE# 15' S Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: �N6E N
ISSUED T0: g �� Ct Ati< Or` E% SUBDIVISION ATO`r�s Po) N 11 LOT # 1
Authorized StateAeenY 6L��S `gLw60— 1OL=�OitS� Date:
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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:
Proposed Facility:3 bZ)O,t.,S Design Flow (.1949)36Qj So
Location of Site: Property Recorded:
Water Supply: �ublic❑ Individual El Well
Evaluation Metho Auger Bonng ❑ Pit ❑ Cut
Type of Wastewa er: 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/
Calor
.1943
Soil
Depth IN.
.1956
Sapm
Class
.1944
Resn
Horiz
arx
_6
Description Initial Re air System Other Factors (.1946):
S ste Site Classification (.1948): 5
Available Space(. 1945) Evaluated By: p>�'-
S stem Type(s) 'a-- r Others Present:
Site LTAR • e'b
S X" Q T. SCJ -30