IPACHTE# Harnett County Department of Public Health 28382
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:.eLt—J 1/J
ISSUED TO: AV4AXC,�—V A16dAe.- 1X0—h Cx--.4UBDIVISION LOT #
NEW REPAIR ❑ ERP$ ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: P-t--—NES-1-44c / r)
Proposed Wastewater System Type: X—Ci a
Projected Daily Flow: /00 GPD
Number of bedrooms: �—' Number of Occupants: — max
Basement []YesIce No
Pump Required: Dyes ❑ No 3 May be required ed on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Well Distance from well feet
Permit conditions:
Permit valid for.
LYFive years
❑ No expiration
Authorized State A nt: Date: /USEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in no way gu6ted 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 LAe 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 .1958, .1952, .1954, .1955, .1956, .19ST .1958. and .1959 are incorporated by references inro this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: bW4 LAhe%y /� ePxri PROPERTY LOCATION:fS2 / � /�+azJ�� G/fi
�l� / SUBDIVISION LOT #
Facility Type: (QIS�. �iibJ9d✓ f4 New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2f No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" _25roIo 17A'�DL-ri r61—_. Zr? r4' -r-- (Initial) Wastewater Flow: foo GPD
(See note below, if applicable ❑)
�b��d-o U)1yuzSO4,�f,60il CB>-H/�epau)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 10 C> d gallons Exact length of each trench�6 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of:f8—Z°i Mat`9iches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t. TON vs. GPM
Conditions:
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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
Z inches total
'"If applicable: / understand the irstem type spelled is different from the type speciled on the application. / accept the specilcations o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plak or the intended use chanRes. The Construction Authorisation shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject m compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. )tt AI IRIntV )Ilt )RCII.N
Authorized State A Date: /o - '9 -L Sr
!!2= - Construction Authorization Expiration Date: In, 0- 71)
HTE # �5�_�-3(5,OS� Permit # 2S36.7
Harnett County Depailinent of Public Health
Site Sketch
PROPERTY LOCATOW: 9Jq/b ,SIS 64/ VltC/ i�
ISSUED TO: i �PS Gey= M,n SUBDIVISION LOT #
Authorized State A¢—� Z Date: 10—e "/ 5
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
p,�.Q�amO�--SOIL/SITE EVALUATION
'�/ •'" for ON-SITE WASTEWATER SYSTEM
Owner: r Vr4-t-7KPplicant P`^*' D valuated: f �o /Y- �Ol �•7-fir
Address:
Proposed Facility: Design Flow(. 1949): 1 h"a
Location of Site: 5 �4� Property Recorded:
Water Supply: [ � ublic❑ Individual ❑ Well
Evaluation Method:❑ Auger Bo g ❑ Pit El
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
OOTHER
F
1
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
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
I
2
L 4�
6-�
t'r"
r!
Z
/L vs,
L
o—S
Scan--
N3�1�
VC0 .
32 iR
5
3
0'OA
4-36
Sc -Doll
7-L.3a a
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): i