IPACHTE# Harnett County Department of Public Health 28819
Improvement Permit
A building permit cannot be issued with only an Improvement p�m,It
_y.� PROPERTY LOCATION: 3��R R�
ISSUED TO: f� i%'� LTi KS L.L-c SUBDIVISION LOT #
NEW 1Z REPAIR ❑ EXPANSION ❑
Type of Structure: ! 1!z 31 D (�
Proposed Wastewater System Type: 2'25 a IZ611il'UZAZCt
Projected Daily Flow: c-70 GPDt
Number of bedrooms: —' Number of Occupants: 25 maaf -Ydc-3
Basement []Yes 0 No
Site Improvement required prior to Construction Authorization Issuance:
Pump Required: RfYes ❑ No ❑ MatAe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 0' Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
L17 five years
❑ No expiration
Authorized State A�is G /2 Date: °���/—�G SEE ATTACHED SITE SKETCH
The issuance of this permit by th Health Deparmient in no way guarantees the issuance of other permiu The permit holder is responsible for Checking with appropriate governing bodies in meeting their requirements. The
site is subject to revocation it the site plan, plat. or the intended use Changes. The Improvement Permit shall not be affected by a Change in ownership of the lice. This permit is subject to complurne 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 requirement of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1956. 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: D�PA-4,2— I ks 111 PROPERTY LOCATION: /Sa f /fie tY/it t= /CQ
SUBDIVISION LOT #
Facility Type: �ew ❑Expansion ElRepair
Basement? El Yes No Basement Fixtures? El Yes o
Type of Wastewater System" wr*-p 4-v 2i !� F28;' Z7�_�ssf�_ (Initial) Wastewater flow: (eoo GPD
(See note below, if applicable ❑) I
1it--,"7J '2 tFZ c-(RGtair)
Installation Requirements/Conditions V Number of trenches 3
Septic Tank Size b a gallons Exact length of each trench /76 feet Trench Spacing: Feet on Center
Pump Tank Size —/5-06 gallons Trenches shall be installed on contour at a Soil Cover. riches
Pump Requirements: h. TDM vs.
Conditions:
Maximum Trench Depth of ) I inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36 above the trench bottom)
— inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
"If applicable: / understand the s}rtem type spec/bed is different from the ripe speahed on the app/icadim.. / accept the speciTcaponr o/thir permit
Owner/legal Representative Signature: Date:
This construction Authorization is subject to revoation if the site plan, plat, or the intended use changes. The construction Authorization shall not be transferred when there 4 a chane¢ in ownership of the site. This
Lomhuamn Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to she conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State t � Date:
Construction Authorization Expiration Date:
NTE# 1 �- �-- ��)83
Permit # Z15011I
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: <5C /SoS'
ISSUED TO: SUBDIVISION LOT #
Authorized State Ao�-�`> �-- / " (/i�Nlt,�-z Date:
OW
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:JPL _l6
Address: Date Evaluated: y'
Proposed Facility: #�, PJO (o Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method:❑ uger Boring E] Pit ❑cut
Type of Wastewater: ewage ❑ 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.)
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
4uL
s2
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948):5
Available Space (.1945) Evaluated By:
System Ts) Others Present:
Site LTAR