IPACHarnett County Department of Public Health 28748
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: CD
ISSUED TO: u ILDEQ6 SUBDIVISION LOT #
NEWW REPAIR Q F%q�NSION ❑
Type of Structure: �� `� y YF j
Proposed Wastewater Syste�m JT pe: `�5°/0 9,mycm ow 515—,
Projected Daily Flow: �-y`6 GPD
Number of bedrooms: Li Number of Occupants: Cl max
Basement ❑Yes 'Wo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community >( Public ❑ Well Distance from well 180 Net Permit valid for. ❑ Five years
Permit conditions: ❑ No expiration
Authorized State Agent: �� w�i Date: 6 I L SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the aqa of other permits. The permit holder h res nsibfe for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation 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 Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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 T0: L ZIOW U1WEk-5 PROPERTY LOCATION: guCgf%,ARa
r SUBDIVISION LOT #
Facility Type: S� `��` l l� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fi tures? ❑ Yes �to
Type of Wastewater System** °�oyLCi v GN cJy55GM (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Conditions:
Trench Spacing: `l Feet on [enter
Soil Cover. C - 8 inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the s}rtem type specified is different from the type siredhed on the application. / accept the rpeaficationJ of this permit
use
Date:
shall not be transferred when there is a
Comtcoction Authorizationto complian the Laws and Rules for Sewage Treatment and Disposal and to she conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: G 7 )L
o t tion Authorization Expiration Date:
'46puCrtO,r S?3 (Repair)
Installation Requirements/[onditions
Number of trenches 4
Septic Tank Size S aha gallons
Exact length of each trench 9O feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. = inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: `l Feet on [enter
Soil Cover. C - 8 inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the s}rtem type specified is different from the type siredhed on the application. / accept the rpeaficationJ of this permit
use
Date:
shall not be transferred when there is a
Comtcoction Authorizationto complian the Laws and Rules for Sewage Treatment and Disposal and to she conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: G 7 )L
o t tion Authorization Expiration Date:
HTE# � 6 - 5 3�1 '�
ISSUED TO:
Authorized State Agent:
Permit # -141
�N
Harnett County Department of Miblic Health
Site 'ketch
PROPERTY LOCATON: Q Qc) SAN 4 N K9
LoFgs SUBDIVISION I LOT #
Vb���ouveR io>9oCa� Date: �1 1l ll
-*--fln..pwtlWc 1 l5
gv Lr`._
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: Q \
Proposed Facility: ,kZc Design Flow (.1949):�i� �C
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Metho�uger Boring ❑ 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
SVnetnre/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth W.
.1956
Sapro
Class
.1944
Rent
Horiz
c' -
Description
Description Initial Repair System Other Factors(. )946):
S ste Site Classification (I 948).#T
Available Space(. 1945) Evaluated By: 'K
System Type(s)) Others Present:
Site LTAR .3