IPACHTE# Harnett County Department of Public Health 28548
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: D P (�
p PROPERTY LOCATION: H L�Co ptJ G¢ov E KD
t f D+3\� O P SUBDIVISION LOT #
NEW'° REPAIR I U,PANSION ❑
Type of Structure: F vl
Proposed Wastewater System Type: 6°Ia3rrF—
Projected Daily Flow: t—I`dd GPD
Number of bedrooms:,- Number of Occupants: max
Basement ❑Yes
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
No
Site Improvements required prior to Construction Authorization Issuance:
1!! No ❑ May be required based on final location and elevations of facilities
❑ Community ❑ Public X Well Distance from well feet Permit valid for. ❑ Five years
❑ No expiration
Authorized State Agent:Date: 10� SEE ATFACHED SITE SKETCH
The issuance of this permit by the Realth Department in no way guarantees t ce of other permits. The permit holdertis r'npohs far checking with appropriate governing bodies in meeting their requirements. This
site is subject to reeontion if the site plan, plat, or the intended use changes. The Im-pilintill Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the pmvisiom of
the laws and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirement of Rules .1958, .1951, .19S4, ASS, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed m ucordance
with the attached system layout.
ISSUED TO: f ) raw vet s S'" V? PROPERTY LOCATION: vel
SCrp (fed SUBDIVISION LOT #
Facility Type: n 63� bk New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Base7mentNtu�res? El Yes 11 N9
Type of Wastewater System** tci.S'L a `a-60tIc4s a N ys YEM (Initial) Wastewater Flow: Las'<0 GPD
(See note below, if applicable ❑)
as
r !-- - SyS (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size Soo o gallons
Exact length of each trench Y O O feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth oL• 1 its inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs.
GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. 6 inches
(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
inches total
**If applicable, / understand the system type specified is different from the type specified on the app/kation. / accept the cpecifcaMom of this permit.
Owner/Legal
Date:
This construction Authorization i to revontion if the site plan, plat or the intended use dhanges. The Construction Authoritarian shag not be transferred when there o a Change in ownership of the site. This
Comtmction Authoruatiosazi ctct to romp i e "ons of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �S Date: SO
Con action Authorization Expiration Date:
HTE# �5-S 37S�S
Harnett County
ISSUED TO:
Authorized State Agent:
Permit # 2.$51-)�
Depailment of Public Health
Site Sketch
PROPERTY LOCATON:GrwvG— q.D
SUBDIVISION LOT #
$ a3
Date:
�a0�
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File N:
Code:
Owner: Applicant:
Address: Date Evaluated: \
Proposed Facility: t-1C3Pn-"'� Design Flow (.1949): Ct;IQ +�-0 Property Size:
Location of Site: Property Recorded:,
Water Supply: ❑ Public❑ IndividualTj�\Well ElSpring
Evaluation Method: uger Boring ❑ Pit ❑Cut
Type of Wastewater: ❑ Sewage Industrial Process ❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTO4SI.956.1944
Profile
Class
LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralo
.1942
Soil
Wemess/
Color
.1943
Soil
D th IN.&
VrrnL )-Pf
Sa
P
)o J21r�
AZA
53>k Su—
10, s5)5(�
PS
y
C) Na,
C 5
UFL 451)R
ja 3 6
7xi JL SG1
FR SJ%`Xr
Q 5
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948): p}
Available Space(. 1945) 14 Evaluated Bye
System Type(s)) Others Present:
Site LTAR "-q