IPACHTE#1L-s-3S14� Harnett County Department of Public Health 28877
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
' � // PROPERTY LOCATIONh�ryryl�,be>1
ISSUED T0: Coe+�p� /4or Z S SUBDIVISION C'�tix s L / Lbt # Sd
NEW d REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'S 5✓�
Proposed Wastewater System Type: 2V61IL84,'b�
Projected Daily Flow: 3Ys a GPD
Number of bedrooms: Number of Occupants: Amax
Basement ❑Yes fad' No
Pump Required: []Yes ❑ No 51�Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community IIVPublic ❑ Well Distance from well feet Permit valid for. VFive years
Permit conditions: ❑ No expiration
Authorized State Ag ice:� C /" /.�frz�E As2_t'�`—D"ate: & - -7 —/ 4 SEE ATTACHED SITE SKETCH
The issuance of this permit bHealth 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
site is subject to reroLf, 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 or 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 Permjt)
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 shat be installed in accordance
with the attached system layout
ISSUED TO: Z;,J c-, PROPERTY LOCATION: qq haA�c
J SUBDIVISION Goss Lr.,k LOT #
Facility Type: SFD Z New Expansion ElRepair
Basement? ElYes ler No Basement Fixtures? [3Yes No
Type of Wastewater Systers" Z5"La R-u[W,!,,er cT-c,r-ii7-_ (Initial) Wastewater Flow: R& 0 GPD
(See note below, if applicable ❑)
U -'P �� p -x _Fv 'VS""L-a tZ'aJ,*'(Repair)
Installation Requirements/Conditions Number of trenches _—
Septic Tank Size / b o o gallons Exact length of each trench 1570 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of 20 7tg 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: h. TDM vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING 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
2 inches above pipe
/L inches total
'If applicable: / onderrtaird the tyttem type rpealed it different from the type tpeciled on the application. / accept the JpeoWmiiom of this permit
Owner/Legal Representative Signature: Date:
This construction Authorisation it subject to revocation if the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the sentiment of this permit. att AI IAlntq 3111 dRtlLn
Authorised State A9Ppt`_l12--:: � �� /' 1 l-� 4- > Date: - -7 — L b
Construction Authorization Expiration Date: G - Z —2)
HTE# %(,— '5�— 3$7`1 Permit # 286-77
Harnett County Department of Fiblic Health
Site Sketch
PROPERTY LOCATON:ZS--A-1 q W
ISSUED TO: ��^^^� / ��/)^X— / SUBDIVISION 1+�,-etc_ LOT #
Authorized State Agent�—� /' l.A ren gate: (---- L (r,
nA
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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: pp ate Evaluated:
Proposed Facility: L) 1� Design Flow (.1949):�5C
Location of Site: Property Recorded:
Water Supply: 0—Public❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: [2 -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Positiod
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
Salim
Class
.1944
Restr
Horiz
3�' ?O
-SLr
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't-
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(eb
1
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&(.,I pot--...'
ct S:
3
L
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Kr4
L -CI
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39�j`r
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Description Initial Repair System Other Factors (.1946):
Sy
stem Site Classification (.1948):
Available S ace (.1945) Evaluated By
S stem T e(s ?� Others Present:
Site LTAR