IPACHTE#EHarnett County Department of Public Health
Improvement Permit 2 6 8 8 4
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: Enc°,s
ISSUED T0: L.vTtlbS yG'CaS15 SUBDIVISION QR-,F-maN. LOT #
NEWX REPAI ❑ E ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 57 SU nS c1'
Proposed Wastewater System Type: 2 5~'fo ovc~~~as 575.E
Projected Daily Flow: ® GPD
Number of bedrooms: S Number of Occupants: \C7 max
Basement ❑Yes ;K No
Pump Required: ❑Yes --t5, No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for: "Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: :~~7~, ,y
The issuance of this permit by the Health Department in no way guarantees the issu
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
i5 Date: L 1 SEE ATTACHED SITE SKETCH
other permits. The permit holler is res onsible for checking with appropriate governing bodies in meeting their requirements. This
rent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: ~4 1 3^) Cri4Ns-c6.:vc<: o(LS PROPERTY LOCATION: C) oC,s
SUBDIVISION YT-, LOT #
Facility Type: 5 5d x~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes >~No
Type of Wastewater System** Zz. uc.;>> vim, SYS to (Initial) Wastewater Flow: ~bO GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size \~.SO gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 300 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. \%-30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: e1 Feet on Center
Soil Cover: G 1$ _ 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 ]OFT. 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 speciled is different from the type speciTed on the application. / accept the roeciflnuions of this permit.
Owner/Legal Representative -Signature: Date:
This Construction Authorization is subject to revoca' the site pl lat, 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 is compliance a oft aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Qc)-\5 Date:
Const ion Authorization Expiration Date:
HTE #
Harnett County
ISSUED TO: 1-1-
Authorized State Agent:
Permit # ';-(,A14
Department of IN-iblic Health
Site Sketch
PROPERTY LOCATON: flocs
_ SUBDIVISION C) a>Lc~oer; LOT
(p"vECL 70 ) Date: t)-0
NO'S
E.c,vS~VE, pcL
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
SOIL/SITE EVALUATION File
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant:
Address: Date Evaluated: i ~ )'Al1Z-
Proposed Facility: 5 0%_4 ov Design Flow(. 1949): uo xe Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Metho Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY OTHER
I Vj1940 .1941
L W 4 PROFILE FACTORS
E Position/ _ Depth .
# Slope %
Pe (In.)
Lj
Q3 -1+
. 1941
Structure/
Texture
d_1..
.1942
1941 Soil
Consistence Wetness/
Mineralo Color
1943
Soil
Depth IN.'
'Pal
0"
l VL
cJ
~a
61L
SJ(l~~
ms)~
CJ -
G
2 )~s elf'
Description Initial Repair System
Available Space (.1945)
LTAR 5
1r 3a C) C -3C7^
Other Factors (.1946): P 5
Site Classification (.1948):
Evaluated By: Q-<
Others Present: 5,n
.1956 .1944 I Profile
Sapro Restr Class
Class Horiz & LTAR
G '7
~5
,S'5