IPACHTE# /Y-s -5VJe6,- Harnett County Department of Public Health 27990
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: TZ�,, 1 ��-
ISSUED T0 SUBDIVISION LOT #
NEW 12" REPAIR ❑ EXPANSION ❑
Type of Structure: 41 )Cq d C'__'
Proposed Wastewater System Type:
Projected Daily Flow: J�OC; GPD�tt'dr s °tt`1`r
Number of bedrooms: Number of Occupants: max
Basement ❑Yes L"No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: [�es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community GVPublic ❑ Well Distance from well feet Permit valid for: �jve years
Permit conditions: ❑ No expiration
Authorized State Agent:: / _7�,%I't. .12ele—f Date: FZ zl /2°(`i SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health 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
(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: «4 PROPERTY LOCATION: J Te'I1,�1
SUBDIVISION LOT #
Facility Type: Lw CQIrc 0—New ❑ Expansion ❑ Repair
Basement? ❑ Yes 9--No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** Q� �= Ccaticn E° o� (Initial) Wastewater Flow: S_oC' GPD
(See note below, if applicable ❑)
�� � �-� Cctiy�"E- a c:K �•.� (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size 1600 gallons Exact length of each trench 0_60 feet Trench Spacing: Feet on Center
Pump Tank Size /000 gallons Trenches shall be installed on contour at a Soil Cover: (---/8 inches
Cr,c' —r" /000 $Of1104' Maximum Trench Depth of: 18 -J () inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
C. inches below pipe
Af regate Depth: a- inches above pipe
Conditions: Sr�L inches total
k- / �I a, k
fyf e
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: /understand the system type specified is different from the type soecifled on the applicatiom l accept the specif1=ions of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: c,.��.. mac' Date: 121 y
Construction Authorization Expiration Date: f 21 /ZC /9
HTE# l q -S 3y36 k
Permit # a i 9 9O
County Harnett Department of 1 Health
Site Slketch
PROPERTY LOCATON: 'J X-L
ISSUED TO: SUBDIVISION
Authorized State Agent: lemf -
Date: P/ :q 1,-,i v
jc,ti 0,0, ",-
LOT #
* Nr"f . ,JCJC
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant: 8ri8 11$
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: 13-Plublic❑ Individual El Well
Evaluation Method: Auger Bo 'ng ❑ Pit ❑ Cut
Type of Wastewater: [Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F SOIL MORPHOLOGY
I .1940 .1941
L Landscape Horizon
E Position/ Depth 1941 1941
# Slope % (In.) Structure/ Consistence
Texture Mineralogy
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
jf2l
IL
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): P.
Available Space(. 1945) Evaluated By:,,q,...-
System Type(s) C-1 Con ✓ Others Present:
Site LTAR e % if . 31