IPACHarnett County Department of Public Health 28103
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION.�c4
ISSUED T0: SUBDIVISION 1A1 tar —k,-U4,,- e LOT # �t3
NEW En' REPAIR ❑ ` EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 6 J-(. 214-6
Proposed Wastewater System Type: c2 Q, �e.--
Projected Daily Flow: GPD
Number of bedrooms: `i Number of Occupants: 8 max
Basement []Yes CNo
Pump Required: ❑Yes 1�4 No ❑LMaY_be required based on final location and elevations of facilities
Type of Water Supply: El Community Ld' Public ❑ Well Distance from well feet Permit valid for: 0"Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: V ,Ce,& Date: 'Zo /Sc 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 TO: /r�c<— /410AV -Z PROPERTY LOCATION:
SUBDIVISION , LOT # 93
Facility Type: S/G� ❑ New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2r-No Basement Fixtures? ❑ Yes ❑ No �/
Type of Wastewater System ** c�U-1 -dam �-:v�t.� (Initial) Wastewater Flow: X?Q GPD
(See note below, if applicable ❑)
�2-S-7. (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size /COO U gallons Exact length of each trench o2'- 0 feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6 -a`f inches
Maximum Trench Depth of. /6 -r30 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
pp Aggregate Depth: inches above pipe
Conditions: /C'J1 1 ..ef Q^. co' co.r-- 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: /understand the system type specified is different from the type specified on the application. / accept the speci( cations of this permit.
Owner /Legal Representative Signature: Date:
Thic r— trurtinn itnth --firm is cnhiart to ravnratinn if tha city nlan ntat nr tha intandad irca rhanves_ The Imtnirtion Authorization shall not he 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
C
Authorized State Agent: LA. H Date: / a /
Construction Authorization Expiration Date: 614 v/9
HTE# 17 °�'��/,;% Permit # o?- g f °-7
Harnett Connty Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: ���� l-r/. SUBDIVISION /vJwrlCz �.�� LOT #
Authorized State Agent:
/�-�,' �'% Date:
i
�G
/ r�3_ i
�Xlc d n U,
/8 6
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: r� /4
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: [/Public❑ Individual ❑ Well
Evaluation Method:❑/Auger B ing F1 pit F-1 cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941 .1941
Structure' Consistence
Texture Mineralogy
.1942
Soil
Wetnessi'
Color Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
J`r�✓
�L�
V A4
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948)..,/-
Available Space (.1945) Evaluated Bye.., —
System Type(s) �)' - 02 Others Present:
Site LTAR