IPACHTE# Harnett County Department of Public Health 28729
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L -e t si t3 '%rd1� 5 DQ -
ISSUED TO: WS T • L -LC. SUBDIVISION �v 5-5 a N V,, s LOT # �—
NEW;N REPAIRQ EXPA ON 13 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '� Q9 � T-') x O,
Proposed Wastewater System Type: �S°,o YWEA17 o d SsEsr
Projected Daily Flow: 1ACD GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes XNO
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ElCommunity 'W Public ElWell Distance from well LOO feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 5 t� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua (other permits. The permit holder is resp Bible for checking with appropriate governing bodies in meeting their requirement. This
site is subject in remotion it 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 Permit)
The comtmction and installation requirement 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 TO: �� �'M �-T'1_s Co, -S -s • l_LG PROPERTY LOCATION: 1-0r N)I%-- Q6Ts5 On-
SUBDIVISIONPSv�rt�� t LOT #
Facility Type: 'D 't, `� ' �� .�, New ❑ Expansion ❑ Repair
Basement? ❑ Yes '-K No Basement Fixtures? ❑ Yes �No
Type of Wastewater System** ���lo �60Vl�1 V u S�S�crY, (Initial) Wastewater Flow: 3w GPD
(See note below, if applicable ❑)
0, S7 76w-. (Repair)
Installation Requirements/Conditions Number of trenches LA
Septic Tank Size t bo a gallons Exact length of each trench 5 b feet Trench Spacing: 01 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. S'�— inches
Maximum Trench Depth of. 9,111 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: N. TDM vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFL FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the tyrtem type rperiled it different from the type rpenled on the app/halon. / accept the upe6katior2r of this permit.
Owner/legal
construction Authorization is
Date:
site plan, plat. 9,r she incended use changes. The Conswctan Authonunn shall net be tnnshn
she orov of the laws and Rules for Senn Treatment and Diso rsal and to the conditions of this
Authorized State Agent: Date: 5
Authorization Expiration Date:
SEE ATTACHED SITE SKETCH
HTE# Permit #
Harnett C"ounty Departinent of 1"ublic Health
Site Sketch
PROPERTY LOLATON: Lj"C i>�, S ) 2
ISSUED T0:LLL. SUBDIVISION Pwsz,N ?,, LM LOT # _
Authorized State Agent: Date:
((L°A1Q 1
P2t
45I
No 0 S
L-ON�')r-
e G T� 5
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Tl-, G Zc
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3goQc1 Design Flow(. 1949):.36n��
Location of Site: Property Recorded:
Water Supply: public❑ Individual ❑ Well
Evaluation Method�uger Bonng ❑ Pit ❑ Cut
Type of Wastewater: __E] Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
-i-
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOH. MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
Profile
Clens
8c LTAR
.1941
Sbuctmw
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Colo
.1943
Soil
@I.
.1956
Sapro
Class
.1944
Rear
Horiz
c
C
SC L_
Sze
(S
.S
2
Vf)
G 5
Vr�fi �ti4
37•`�
�jx ry
stn 535('
S
Description Initial Repair System Other Factors (.1946):
System, Site Classification (.1948):'
Available Space(. 1945) If Evaluated By:
System T s / Others Present: --
Site LTAR