IPACHTE# - = X09 Harnett County Department of Public Health 27786
Improvement Permit
A building permit cannot be issued with only an I provement Permit
i PROPERTY LOCATION: �I�tx t- -- �Gf>'S VID
ISSUED TO: 3 L ' ��� \ A o M Cj SUBDIVISION LOT # _
NEW REPAIR P EXPAf!SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `E: OO 14 S" C
Proposed Wastewater System Type: 3SF' n vim; cvN-'�
Projected Daily Flow: `aG�Cs GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: Dyes �j° No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -A Public ❑ Well Distance from well i feet Permit valid for: Five years
Permit conditions: _ S:Z- ❑ No expiration
Authorized State Agent:: Date: ` J V01 ) L1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc rme\u. The permit holders respo Bible 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 Permi ll 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: QL` � PROPERTY LOCATION: i t z-- LNJ Ci f
SUBDIVISION �.�.o �� � A c��-s LOT #.�
Facility Type: (4 New ❑ Expansion El Repair
Basement? E] Yes A No Basement Fixture s? ❑ Yes
C
Type of Wastewater System" S�� o C� V G'S 1 ; t
(Initial) Wastewater Flow: ` 4 GPD
(See note below, if applicable ❑)
r o f Q -Z—P �3 Gi 7 01-1 (Repair)
/
Installation Requirements /Conditions Number of trenches 1
Septic Tank Size i Q 0 0 gallons Exact length of each trench feet
Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on cofttq at a
Soil Cover: � inches
Maximum Trench Depth of: 1`% 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
},2
Aggregate Depth: inches above pipe
Conditions: C t L
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 speciled is different from the type speciled on the application. l accept the specipcations of this permit.
Owner /Legal Representative Date:
This Construction Authorization is subject to revocation if the �pr tended use changes. T he Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subjectz 0�pliance with Qules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:' �. > Date:
Construction A rization Expiration Date: a 1
HTE# IL--) -5 C)) Permit # (--,
R
V 12-)-jA
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: Design Flow (.1949): -, 060
Location of Site: Property Recorded:
Water Supply: �ublic❑ Individual El Well
Evaluation Method: Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ 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
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
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io
sGt�
�{�. 55)*
c Q )ax
P�
5
�3
41
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az sCL�'2
s5�S
ty
QXe
JL
3036
' S
Description
Initial
S ste
Rep it System
Other Factors (.1946):
Site Classification (.1948): �S
Evaluated By: (
Others Present:
Available S ace (.1945)
System T e(s)�
!<
Site LTAR
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