IPACHTE# `y' S 33f-1s Harnett County Department of Public Health 27935
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
4 PROPERTY LOCATION: M00%L -5 Q Z (Vo ®G\C' Lp")ot
ISSUED TO: Nl t�.� 51 ��� t C\ Nfl�> > i E ��~% SUBDIVISION LOT #
NEW'( REPAIR ❑PANSION ❑
Type of Structure:
Proposed Wastewater System Type: r?��`�n 64--cu
Projected Daily Flow: C4--t-t-'O GPD
Number of bedrooms: Q-- Number of Occupants: 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 Xublic ❑ Well Distance from well feet
Permit conditions:
Authorized State Agent:: :!�
The issuance of this permit by the Health Department n no way guarantees t i nce
site is subject to revocation if the site plan, plat, or the intended use changes. The Imp
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Permit valid for:
Five years
❑ No expiration
> Date: 5 1-;-1 I i9 SEE ATTACHED SITE SKETCH
of other permits. The permit holder is respon ible for checking with appropriate governing bodies in meeting their requirements. This
vement 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
1
ISSUED TO: N-TS 1Gw �i Q,,0--y `A C. Rj PROPERTY LOCATION: GL
SUBDIVISION '" LOT # �
Facility Type: SF��F x33] New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System ** 'lam C<-r--Z UC -'S �0 N SE'S 6r", (Initial) Wastewater Flow: r)�40 GPD
(See note below, if applicable ❑) /
25r( 0 UG'S \0rf SY 3LSC\ (Ranairl
Installation Requirements /Conditions
Septic Tank Size S O O G gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Number of trenches `a
Exact length of each trench (�O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: C� Feet on Center
Soil Cover: (-' °l3 . 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 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 subject ation 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 is subjc`ct to compliancewilh ti visio the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: 5I '1,)
n Authorization Expiration Date:
ISSUED TO:
Authorized State Agent:
Permit # ' C, I s-
T art e t ® �ilic Health
Harnett C'Onnt� e
site sketch
,r "Cl"A
i l?
6 � �1 -P6.L°
PROPERTY LOCATON: LOT # _ —
L� n� SUBDIVISION
Date:
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: ai3D Design Flow(. 19149): QA Q� )
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auger Bolting ❑ Pit ❑ Cut
Type of Wastewater: 'E� Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
Description
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
a -5
0 3�6
C, z>
X11 �...
� W `wM1..+
�✓�1�D
li � y,
N -31
Description
Initial
S s m
Repair System
Other Factors (.1946):
Site Classification(. 1948): $�
Evaluated Bye �'
Others Present: y
Available Space (.1945)
System T e(s)
2 S!c
Site LTAR