IPACHTE# Harnett County Department of Public Health 28878
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: St -4 S-&
ISSUED TO: SX, -:a z 6s,. ;LL SUBDIVISION LOT # T
NEW C✓J REPAIR ❑ EXPANSIOW ❑
Type of Structure: Ys'LU'a
Proposed Wastewater System Type: 22522 IuG;'-v rnTW-%_,
Projected Daily Flow: to 0 GPD
Number of bedrry�ms: Number of Occupants: max
Basement I�Yes ❑ No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community d Public L% Well Distance from well 160 v het
Permit conditions:
Permit valid for:
0 Five years
❑ No expiration
Authorized State Age ' "" Date: (s _8j4 L SEE ATTACHED SITE SKETCH
The issuance of this permit by 1110ealth 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
sire is subject to revoation if 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 Buildine Permit
The construction and installation requirements 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 atached system layout
ISSUED TO:(,te.. es �G. 1W /TL'i1PROPERTY LOCATION:C'!t-.lam I f5ih ci14. IZZ
c' SUBDIVISION LOT #
Facility Type: 2��New 11 Expansion El Repair
Basement? Yes ❑ No Basement Fixtures? r Yes ❑ No
Type of Wastewater System" -fu 4 27.-2,) � U cd'i.rfU (Initial) Wastewater Flow: 'J�'n GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size va c gallons Exact length of each trench tO ° feet Trench Spacing: Feet on Center
Pump Tank Size / Co a gallons Trenches shall be installed on contour ata Soil Cover. 0 inches
Maximum Trench Depth of: Z Z--) (t 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 inches below pipe
^� Aggregate Depth:— inches above pipe
Conditions: / 5 i b7 /�?s �T* e . /- h .^. rr , , , 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: l undersnnd the grtem type giaKiled it different from the type rpecifled on the application. / acrept the speabcationr of 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 Authoritarian shall not be transferred when there is a change in ownership of the site. This
tonstmction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit At AI IALH[U lilt IAtICH
Authorized State Ag FIE. L. / i/ � Date: L' 2-1 4,
I/ Construction Authorization Expiration Date: in, - Q-Zl
HTE# /Cv— S 3 `a i9 3
Permit # 2-? 8 —7 6
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUEDTO��/c'GrL �rasI C� l��+%T i—� t �s.SNBAIYISION LOT #
Authorized State Agent- �a---�� L �� ✓��� Date:
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: (qp.�-r.!
Address: Date Evaluated:
Proposed Facility: rt• VTI: Design Flow (.1949): 3%aD
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: E] Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Q- 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
iS-vc
,fo-u
l�,.s.n
3s�-�ro'i-Y
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948
Available S ace (.1945) Evaluated By:
S stem T e(s Others Present: G
Site LTAR jr