IPACNTE# i6 -5f: 531 Harnett County Department of Public Health 28794
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY
ISSUE TO: Q,V--"e—K51—1 s7. � amt SUBDIVLOCATION: )—N
ONiZEtLQ6sTc LOT #.
NEWA REPAIR ❑ ANSION ❑
Type of Structure: S�O(a� " p�
Proposed Wastewater System Type: astl�d (eOV4YR0'J SYg�m
Projected Daily Flow: Lim? O GPD
Number of bedrooms: Li Number of Occupants: _max
Basement Dyes ANO
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Dyes 23is ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '1< Public ❑ Well Distance from well \ O 0 feet Permit valid for. Five years
Permit conditions ❑ No expiration
Authorized State Agent: ���ea �(c� Date: `) I'1c+1 lie SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaanmes t e a f other permits. The permit holder rs responable lar checking with appropriate governing bodies in meeting their requirements. This
site is subject m mutation if the site pian, plat, or the intended tete changes. The Improve c 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 requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references inro this permit and shall be met. Systems shall be insWled in accordance
with the attached system layout.
ISSUED T0: QGnFt�S��e� i1c�-6P s 7 PROPERTY LOCATION: "cq;gC--\ LNN
SUBDIVISION LOT #
Facility Type: Ste% �� c7 New ❑ Expansion ❑ Repair
Basement? ❑ Yes "&� No Bactgment Fixtures.? ❑ Yes )KNo
Type of Wastewater System** v a S—)37ETf'\ (Initial) Wastewater Flow: 4i� GPD
(See note below, if applicable ❑)
Q0"-'9 o �-5 �� Q'V (Repair)
Installation Requirements/Conditions Number of trenches A p
Septic Tank Size w O a gallons Exact length of each trench 36 O feet Trench Spacing: 1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. G __Z0_ inches
Maximum Trench Depth of.. \`9'2 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. TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the grtem type specified is different from the type spedhed on the application. / accept the specibcationr of this permit
Date:
This Construction Authorization is subje vocation it the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there u a change in ownership of the site. This
Construction Authorization is spbjeL<to mmpliaite.� a pro of the Laws and Rules for Sewage Treatment and Disposal and to she conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: l a�*
r tri ton Authorization Expiration Date: u
HTE# 1(- -5 2563> j Permit # a'%I rAy
Harnett County Department of Public Health
Site Sketch
� " PROPERTY LOCATON: NC Q,GGQ�
ISSUED TO: l-lA �u-t� a SUBDIVISION LOT #
�
Authorized State Agent: f�Z',S of„i6L roti Date: �l tih 6
�cz�
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: \\¢u
Proposed Facility: ).v pcj,ti� Design Flow(. 1949): L%% �
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method:❑ 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.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Miners to
.1942
Soil
Wetness/
Color
.1943.1956
Soil
D th IN
Sapm
Class
.1944
Restr
Honz
LS
C-1 P
�5.3)c C_
Description Initial Repair System
S st m
Other Factors (.1946):
Site Classification (.1948):'4
Evaluated By:--((
Others Present: 01
Available Space (.1945) J
System Te(s) Q5 f P 9
Site LTAR •�^