IPACHTE# ILA-�z-1�s''1 Harnett County Department of Public Health 28167
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: \<,L i vC,>c.y OEaa'y L N
ISSUED TO: \v4 'y r,, S Q;\)CZ % 0 N SUBDIVISION —I ?-,o%£ LOT #
NEW,, REPAIR EX SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: C, �d �O
Proposed Wastewater System Type: `Pu c vP)d asyo 1CV t 03a
Projected Daily Flow: Ceo O _ GPD
Number of bedrooms: S_ Number of Occupants: VC) max
Basement []Yes No
Pump Required:�es No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community >5, Public ❑ Well Distance from well �Q O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent::� CH1a5 Date: t 0 1 s^) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu other permits. The permit holder is rest 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 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, .1957, .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: W -7 'i'Q.y<Z;S– t d s4 PROPERTY LOCATION: ycxC -1'OC Lsy 41
SUBDIVISION 'Trto-v C–r-,,b LOT # LAD,
facility Type: New F]Expansion ElRepair
Basement? ❑ Yes No Basement Fixtures? LJ Yes �N
Type of Wastewater System** Qy m p QL:&:'�) is -1 C -"Initial) Wastewater Flow: 'SJJ d GPD
(See note below, if applicable ❑)
U fae 'V o I d4SId (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size gallons Exact length of each trench feet
Pump Tank Size L CDpQ gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1N "3�- inches
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: G' a,? -3 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: 1 understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signa Date:
This Construction Authorization is subject to revocation if t 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 iscompliance w he provisions ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:\� tZG—Tj Date: 11,
Constraik Authorization Expiration Date: _
HTE# IL-)-5=3"151-
Permit # Z12 fi,:1
I M' ,rnett County Departmentof •,
Site Sketch
PROPERTY LOCATON:N-�vck �E.2g�j I -t.3
ISSUED TO: T1s f2uGS i Q ,3 SUBDIVISION -Tkz 6Q� RQ G G LOT # �_
Authorized State Agent: tiiS(P L1'4i® Jcr Date: a.► �' TI-)
M
Ila;
KGrv; VC,-" ® g -3y L. J
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: l
Address: Date Evaluated: �c71a
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: 7TRPublicEl Individual ❑ Well
Evaluation Method: El Auger Boring Pit F-1cut
Type of Wastewater: Sewage u 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
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
S
SL
c) az
G If
Jfr /V%✓/�
r/fo
�f
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR