IPACHTE# \\-5-~~a. ~ Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
i~ PROPERTY LOCATION: N wy',;n
ISSUED TO: r,-\S t,\ (,P"4 ri ~C sc~ ti-\6 SUBDIVISIOr7-, ~,-3 UE,j P o f vV'C--
NEW°,,Q'1 REPAIR ❑ E SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5VQ (,tAcAA3
Proposed Wastewater System Type: Q y,-e70 ',)-.S% a-c--O vG X00
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required:--IEYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community A Public ❑ Well Distance from well 1 ~ ® feet
Permit conditions: \
Authorized State Agent:: Date: "91 1=1,\ 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarante issuance of other permits. The permit holder is responsible 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. s nprovement 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 .1950, .1952, .1954, .1955, .1956, .1951, .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~ neg,, .AstJ \Aamc-5n snA PROPERTY LOCATION: N~rsl~•~
SUBDIVISION- -5,4c~.t..,t PG.,*-'t= LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes -I<No
Type of Wastewater System** ~yr.0- a-s°Lo RF..auc ~C~osy t~' C (Initial) Wastewater Flow: 3LO GPD
(See note below, if applicable ❑
~ V m e-v9 a'g 97. c- 100 (Repair)
Installation Requirements/Conditions
Septic Tank Size I (=2 ®C7 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions: ~a s
Number of trenches 1
Exact length of each trench 2`00
Trenches shall be installed on contour at a
Maximum Trench Depth of: 4
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover: C inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Seam -"VtFn W 1S
26703
inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
**If applicable: I understand the system type specified is different from the type specified on the application, / accept the specilcations of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization # subject to comp fiat ' i the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Permit valid for:
X Five years
❑ No expiration
LOT # -aL~- -
Authorized State Agent: vyy` e4 Date: >1
struction Authorization Expiration Date: 1 C"
HTE# t1-5-a~a,5`l
Permit # `a,C.C3
Harnett County Department of i-blic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
'1® cA
PROPERTY LOCATON: N-1,4 -1 `a,j
SUBDIVISION44 cG-.r, Rot-N"C . LOT #
Lwr--o `T
Date:
1A00"
AQ
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 g Ls3CZ0 Design Flow(.] 949)-3-6
Location of Site: Property Recorded:
Water Supply: 'Public❑ Individual El Well
Evaluation MethodAuger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
P
I
L
.1940
H
i
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
E
#
q
or
zon
Depth
(In.)
_zz
^J~.
.1941
Structure/
Texture
.1941
Consistence
Mineralo
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.
.1956
Sapro
Class
estr Profile .1944
Restr Class
Horiz & LT AR
3 ~1 t
~ 1L
V Fit ;S~ ;
~3 r 4L
(t vs~ ~P
9~ ~L~ t
~S
Description Initial Repair System Other Factors (.1946):
Available Space .1945) S st Site Classification (.1948):P5
Evaluated B
System Type(s) D) y.
Site LTAR Others Present: