IPACHTE# `U- - s is Harnett County Department of Public Health 28173
Improvement Permit
A building permit cannot be issued with only an Improvement Permit t
PROPERTY LOCATION:
ISSUED TO: L -L. P MEX) SUBDIVISION SLQ.R 1 r, 45 LOT #
NEW REPAIR ` E NSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5V4 `� 1 ��j� _
Proposed Wastewater System Type: Gl a v c,:c
Projected Daily Flow: 1 -ASD GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes No
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 Ems® feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 5 Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t ' sal ce of permits. The permit holler 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 i ment 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:PROPERTY LOCATION: E21v G.s-' B (Lcm rJ
SUBDIVISION ZGUZ--ic wC, (Qk)r(Nrf',\NG-5 LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? LJ Yes No
Type of Wastewater System** " �-/, �ZC:D,c,�t ON --31ye.N1 (Initial) Wastewater Flow: qVQ GPD
(See note below, if applicable ❑)
Q-S'�Vu UGS'\el -J �ys�G�t1 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1 QQQ gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench \ LA 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: Feet on Center
Soil Cover: 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 .specification 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 chance in ownershin of the sirs This
Construction Authorization is subje on the pyo s�t'o sts of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: R4!�I,)5 Date: t 4 1 1
uction Authorization Expiration Date: 1 141 a
HTE # \14—S -35)—a, )
Permit # abl 13
Karnett County ]Department of Public Healt:ff
Site Sketch
PROPERTY LOCATON:
ISSUED TO: C, ur me--1--q^C-5--, 16 Qo-" w Q -p
kiT—A SUBDIVISION SC221> \<f-t-vAG'�'n CAw-n�NGS LOT
Authorized State Agent: Date:
sip
RZNC--5-5
M
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: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
D th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
kv
aO 36'
59 k G-
'n. -5
0'9 ;L 31
G s L
�QFrL NJ Rae
_55Y, L
�1� 'SV
101-a ��� V -1d, 7
13
v -aa
x,11 I-
�j
as-a�
5.3 If, 5e L
L 55/ 5�
- a 51
o` -a
13'e,)if,,
P5
}3
O- a.O
G z_
v'Fn fj'JP
X0-3 L)
�-Irl
C 51
Q -J,IC
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c
51 P I
tU'12 )rf
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al
J.0
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I
10- 2
Description Initial Repair System Other Factors (1946):
S st Site Classification (.1948):fj
Available Space (.1945) Evaluated. By:0
System Type(s) Others Present: BM
Site LTAR 3