IPACNTE# 1G' S -39ZS 6 Harnett County Department of Public Health 28814
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTYLOCATION:r�i4 I�(oS�% �tia L&e-40�
ISSUED TOO- /2 / 1! A9 w Gf� SUBDIVISION LOT #
NEW ® REPAIR ❑ EXPANSION ❑
Type of Structure: A�
Proposed Wastewater System Type: ZS% IW LW C^ W �1
Projected Daily Flow: 2 O GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes No
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ No
❑ Community
Site Improvements required prior to Construction Authorization Issuance:
Z3 Ma required based on final location and elevations of facilities
Er Public ❑ Well Distance from well feet
Permit valid for.
Zd Five years
❑ No expiration
Authorized State A nt: ��//ice h -sea i4 Date: 5 -'5 " ^ 1 S'a SEE ATTACHED SITE SKETCH
The issuance of this permit b t liealth Department in no way guarantees 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 revucavo 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 provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permits
The construction and installation requirements of Rules .1950, .1953, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordanQ
with the attached system layout
ISSUED TO: ��h P.t %2 //A r�c� PROPERTY LOCATION: 2 f %SGS 17C -,k" Le -Q- Zf�
SUBDIVISION LOT #
facility Type: :�' New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Llf' No
Type of Wastewater System** ?'1- 1'7'-95V u"LotiJ s tj '' (Initial) Wastewater flow: 2'/ O GPD
(See note below, if applicable ❑) '
%S4e Ci'7dT (Repair)
Installation Requirements/Conditions Nnmhnr of ernnrhoc L
Septic Tank Size /000 gallons
Pump Tank Size gallons
Pump Requirements: ft. TUN vs.
Exact length of each trench /2.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: 7 Feet on Center
Soil Cover: _ate inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
Conditions: &S> I A.4yS ,4%, 47�Pc,7" 0'JJZ22 fPfrs4_ Z.�.snas//
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
7 inches above pipe
Z inches total
**If applicable: / understand the system type specified is different from the type speciffed on the application. / accept the rpeeXcatiomr 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 change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the condinans of this permit SC AI IAt11CV allC ancaa.n
Authorized State ent: Date: 3-3a)
{-
i Construction Authorization Expiration Date: 3 ' 5 ZI
HTE# Permit # 2 ?1 911 �
Tr Harnett County Department of Public Health
Site Sketch
�h� //fid PROPERTYLOSATON:s/L &6 E;- �%yhJ lie �/Ld�
ISSUED T0: -! SUBDIVISION LOT -#
—
Authorize State A09z Date: 3 - 30 - 1 ie
I
1
1 �
100
In
VI�
0�
06
4
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SCHUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 140--1 3-200t66
Address: Date Evaluated: ZVd
Proposed Facility: y•--- Design Flow(. 1949):
Location of Site:Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:C3 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
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(in J
SOIL MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
Profile
Class
& LIAR
.1941
Structure/
Texture
.1941
Consistence
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth W.
.1956
Sapro
Class
.1944
Rear
Horiz
1,
L z�
6 ro
t
S2
3
x,37
b'!8
SL
�Ll-,oW t�
Ib -Yd
Scar�,0
30" '9n
3
Description Initial Repair System
System
Other Factors (.1946):
Site Classification (.1948):
Available Space (.1945)
Evaluated By:^
'—✓y��/
System Type(s)
Others Present:
Site LIAR �J