IPAC RHTE#-1i5� Harnett County Department of Public Health 2818
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 0cSGs 6Lo
ISSUED TO: YN � �� 2v G� \ ��.1 SUBDIVISION sz o � � � s GZ, o G£ LOT # �3�1
NEW REPAIR ❑XPANSION ElSite Improvements required prior to Construction Authorization Issuance:
Type of Structure: Svo `G U xC®4'
Proposed Wastewater System Type: D -S ° 11, a4-z)y C,i ) 0 spy Sy5-T E,,
Projected Daily Flow: "46 CZ) GPD
Number of bedrooms: I -A Number of Occupants: max
Basement ❑Yes ','SrNo
Pump Required: []Yes No ❑ be required based on final location and elevations of facilities
Type of Water Supply: El Community Ma Public ❑ Well Distance from well 1®d feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Q -G --N"5 Date: 1) �- ')s SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i 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 Improve nt Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws 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: \-A N C- 'Ns -2vG'�to
Facility Type: SEP Q�" ��
A New
Basement? ❑ Yes -K No Basement Figures? ❑ Yes
Type of Wastewater System** Q's 0 nvc.-�1 CJ
(See note below, if applicable ❑)
QPS3�S
Installation Requirements/Conditions
Septic Tank Size t ®® gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
PROPERTY LOCATION: C)®C's ii�
SUBDIVISION Q-o-�CQ--s Q.0615- LOT # 2)
❑ Expansion ❑ Repair
0
(Repair)
Number of trenches t
Exact length of each trench feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: it inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Initial) Wastewater Flow: 1.-'`�0 GPD
Trench Spacing: V Feet on Center
Soil Cover: 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: flr�,*+ 11�6LOrJG a. _SGC S, 6 S.cc-sc�A
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.
inches below pipe
inches above pipe
inches total
**If applicable: /understand the system type specified is different from the type speciped on the app/ication. /accept the specifications of this permit.
Owner/Legal Repres I tures Date:
This Construction Authorization is subject evocauo 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 to compliance ' h the pr "ons of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ��� , E'�15 Date: -0- a )S'
Construction Authorization Expiration Date: 1 4;11 0
HTE# \ L -i ^ S- � 15-2 Q-- Permit # a�
Harnett County Department
Site Sketch
PROPERTY LOCATON: floC,s
ISSUED TO: 'y C-ogv 2vCST �0N SUBDIVISION "Tnc,-�G�Ls R.,,ocE LOT #
Authorized State Agent: Date:
ME
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: y° �' /'y
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: 2T 'Pub Iic❑ Individual ❑ Well
Evaluation Method:�uger B ng El Pit ❑ 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
Structure/
Texture
.1941
Consistence
.1942
Soil
Wetness/
Color
1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
/Mineralogy
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR
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:! >
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Ind'vidu, l ❑ Well
Evaluation Method:❑ Auger Boring ASJ 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
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
� l r
Salt 5 C -L_
'55_
' SQ
gs
I S
h �
SS�'x'
1Q `)2 i �3L1�
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space(. 1945) Evaluated. By:
System Type(s) Others Present:
Site LTAR