IPACHTE# Harnett County Department of Public Health 28646
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: cA
ISSUED TO: 9:;�c2 si-o C� U ,a G--,2 SUBDIVISION —` LOT #
NEW* REPAIR C] EXPANSION ❑
Type of Structure: `AVO CCd'�Ti 001
Proposed Wastewater System Tyype: '��70 u ow ins tE n
Projected Daily flow: GPD
Number of bedrooms: Number of Occupants: 6 max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well l O feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: \ K& Date: c`i ' 6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ismu nc her permits The permit holder is sponsihle for checking with appropriate governing bodies in meeting their requirements. This
sire 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 prousiom of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Perrot)
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 T0: bV–fl o m M 1 N PROPERTY LOCATION: U S ad tJ
SUBDIVISION _ LOT #
Facility Type: SAO `�O �cti O� �' New ❑ Expansion ❑ Repair
Basement? ❑ Yes —)9, No Basement Fixtures? ❑ Yes 4 No
Type of Wastewater System** 2 Sale Gsz)uLS, 0 tJ S' /Y6rs\ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
asc%rs RZID' S--)5• fReeairl
Installation Requirements/Conditions
Septic Tank Size s o O d gallons
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
Number of trenches 4
Exact length of each trench b0
Trenches shall be installed on contour at a
Maximum Trench Depth of: 1'6
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: `1 Feet on Center
Soil Cover. inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING 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 sperib"ed is different Irony the type spedbed on the app/iraGan. / accept the speribrations of this permit.
Date:
This Construction Authorization is subject to rand 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 subiact to compliance ' t of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: yv N RLS Date: N y 6
o ruction Authorization Expiration Date: 1
HTE# Permit #
Harnett County Department of 1"nblic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
�'i tltv� fJ 2A�.1 ,J es
PROPERTY LOCATON: VSLial (�1
SUBDIVISION LOT #
Date:
-T
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: S 39 (Iq Design Flow (.1949):3 6 ��
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method Augefbring ❑ Pit ❑ Cut
Type of Wastewater: --m 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.)
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texturo
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Cola
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Restr
Ho
V Fv,w i l�
IZ3�
sg�z SGi_
F2 ss�Ye
� �2-��.r�Zt
PSL1
G3 6
53aLscL
FYL '�%'i?
1 2 71.��3L1
'
Description Initial Repair System Other Factors (.1946): 00 tt
S st Site Classification (.1948): cJ
Available Space (.1945) Evaluated By: tK
System Type(s) Others Present: (j n
Site LTAR • Ll