IPACHTE# ILA Harnett County Department of Public Health 27930
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: c S
ISSUED TO: Lx3 vk-57 2v CGS t 0 V') SUBDIVISION LOT #
NEWK REPAIR ❑ EXP ANSION 171 Type of Structure: M Pty mG 0
Proposed Wastewater System Type: Casa afi 1 Zy pti1
Projected Daily Flow: �4 C7 GPD
Number of bedrooms: .- Number of Occupants: t�_max
Basement ❑Yes XNO
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well L bd feet Permit valid for: ,Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: !d SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the of other permits. The permit holder is resp nsible 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 Impro-YeWitnt 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 T0: t'> t 5 C/5 PROPERTY LOCATION:
Facility Type:
SUBDIVISION
New ❑ Expansion
❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Z' No
Type of Wastewater System ** Go s'4y C—. t, 4s N L (Initial) Wastewater Flow: ' O GPD
(See note below, if applicable ❑)
G,"{e b 'jA p" I- (Repair)
Installation Requirements /Conditions Number of trenches ZL
Septic Tank Size t, b c0 �-J gallons
LOT #
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench _50 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: a" °30 inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: }�� inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: *C inches above pipe
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.
1 'lk inches total
* *If applicable: / understand the system type specified is different from the type specified on the app lication. / accept the specifications of this permit.
Owner /Legal Representaf Si nature: Date:
This Construction Authorization is subject to re n if the s,te 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 is subject tLcompliance orkthe ion the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date:
Authorization Expiration Date:
HTE# )4 Permit #
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: cr).. Design Flow (.1949): Q4 0
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Methgd8- \A er Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
Description
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
t
L5
O
C') -Lai
"'C
J
Description
Initial
Syst9in
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: Qr
Others Present: �
Available Space (.1945)
System T e(s)
�>�
Site LTAR
. 7$
"'C