IPACHTE# /J -J` = .3cZ1. -7 c. Harnett County Department of Public Health 27802
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:� JRJ
ISSUED TO, i-,3 1/ 4 A C u xJ- � c � ; � s� SUBDIVISION / ✓tii-(- f % a Yom- LOT #
NEW IJ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 's-0245-01
Proposed Wastewater System �t-
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes / 910
Pump Required: QYes ❑ No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: V? Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: f 2._ - ,/N�../Ce_o Date: Z9 VIZol z% SEE ATTACHED SITE SKETCH
The issuance of this permit by a Healte4r h Department in no way guarantees the 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. The Improvement 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
Reauired 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: � yAA Cc 4j4,,,4--, w PROPERTY LOCATION:
�Q�r�d
���
SUBDIVISION �f-fw,
�:�a� LOT # J_ 7
Facility Type:
[B New ❑ Expansion ❑
Repair
Basement? ❑ Yes ❑ No
Basement Fixtures?p El Yes El No
Type of Wastewater System **
p /
P. 'P
(Initial) Wastewater Flow: 1-160 GPD
(See note below, if applicable ❑)
p '
(Repair)
Installation Requirements /Conditions Number of trenches J
Septic Tank Size / 'Cv Q
gallons Exact length of each trench i0
feet
Trench Spacing: 9 Feet on Center
Pump Tank Size /° 0 C)
gallons Trenches shall be installed on contour at a
Soil Cover: '/Z inches
Maximum Trench Depth of: /G - O,�`j
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
inches below pipe
/�
Aggregate Depth: inches above pipe
Conditions: _ go^ 6r N- �
� : —sr o"
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: l understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Alan, slat, 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 subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: .le t' Date: % av /'&/'/
Construction Authorization Expiration Date: 4Z �`l .2 "r9
NTE# I -3 -' -31b3'-
Permit #
Harnett County Department of Pu1
Site Sketch
PL-7 80,�-
%J PROPERTY LOCATON:
ISSUED T0: !I /► Cce�J Tv'�t .�p ^ SUBDIVISION ! °✓J LOT # S�7
Authorized State A B ent: /`Cju Date:
3'.
i8o
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. ! l
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: / Public❑ Individual ❑ Well
Evaluation Method: [2 Auger Bo .ng ❑ Pit El cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):j
Available Space( 1945) Evaluated By: /� r
System Type(s) -2-r7- Others Present:
Site LTAR . $
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
.1942
Soil .1943 .1956 .1944 Profile
Wetness/ Soil Sapro Restr Class
Color Depth (IN.) Class Horiz & LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
c- ZZ5-
W,-
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):j
Available Space( 1945) Evaluated By: /� r
System Type(s) -2-r7- Others Present:
Site LTAR . $