IPAC RHTE# 1G -S N8 )O SL Harnett County Department of Public Health 28784
Improvement Permit
A building permit cannot be issued with only, an Improvement Permit
PROPERTY LOCATION: NKVvG5 C-0 vt�
ISSUED TO: �-- 4U `t-o6Qi� i^a C SUBDIVISION 8wE�N9.TECL LOT # 4_
NEWW REPAIR 1:1 €%R(NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S-Vfl C�'al r3"'I
Proposed Wastewater System Type: U-4- 05���0N
Projected Daily Flow: 'JC�10 GPD
Number of bedrooms: Number of Occupants: L max
Basement ❑Yeslo
Pump Requiretl�Yes ❑ No ❑ be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Ma Public ❑ Well Distance from well V d feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: —13 Date:a a Lb SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance a Irmim The permit holder responsi le far checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site pian, 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 requirement of Rules .1958, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shill be installed in moordance
with the attached system layout
ISSUED TO: �S� $y'iJ3 alz> IN L PROPERTY LOCATION: \AS>2yEs� Ccu
/ SUBDIVISION LOT #
Facility Type: � New_ ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" �ume'Ta ��'ia '\E.p\0x Sya 5 75 , (Initial) Wastewater now: GPD
(See note below, if applicable ❑)
Low Q2oF,t-.L Repair)
Installation Requirements/Conditions Number of trenches Lt
Septic Tank Size L o OO gallons Exact length of each trench Z feet Trench Spacing: Feet on Center
Pump Tank Size t o0O gallons Trenches shall be installed on contour at a Soil Cover: (�, inches
Maximum Trench Depth of I C—'R inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
inches below pipe
inches above pipe
inches total
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.
**If applicable: / understand the ryriem type rpecihed it different ham the type spe6ifed on the app/kation. / accept the rpeciftwims of thir permit.
Owner/Legal Represents l e: Date:
This construction Authorization is subject to revs if i Ian, or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the sire. This
construction Authorization is s to liame with th ions o d Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construction t horization Expiration Date: a, 2�
HTE#
ISSUED TO:
Authorized State Agent:
10Permit # 'D-"6 y
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: GU'V(`i C
�^ (( SUBDIVISION LOT # t rj
\T S `otivEti �ot�o(�� Date:
t1g
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IIT
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1
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: Design Flow(. 1949):
Location of Site:,J Property Recorded:
Water Supply: LJ Public❑ Individual ❑ Well
Evaluation Method: Auger B ing ❑ Pit ❑ Cut
Type of Wastewater. Lj 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.)
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
;k
U-�b
�Q
0-//
�J/
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR
vY�sm ra ib