IPACHTE# «z'rJ 3'8�1`�3 Harnett County Department of Public Health 28910
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: BLV E C." NP G`
ISSUED TO: MP.2 �C—S Qt�c,c Q:aU t WER.S SUBDIVISIONMPci�i LOT # L�
NEW REPAIR ❑ E SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S�fl (SirLa
Proposed Wastewater System Type: aS°lo Mvn
Projected Daily Flow: L4%Q GPD
Number of bedrooms: q Number of Occupants: max
Basement []Yes >(No
Pump Required: ❑Yes 150o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 4!9� Public ❑ Well Distance from well LO(Z) feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:
'S
she
The issuance of this permit by the Health Department in no way guarantees the issuantt
site is subject to revocation if the site plan, plat or the intended use changes. The Impr
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date:
SEE ATTACHED SITE SKETCH
permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirememu. This
Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
Required for Building Permit
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into doh permit and shall be met. Symms shall be installed in accordance
with the attached system layout
ISSUED TO: M ptq`i'S PLA -,C6 gil)U 1 L-0 rEZS PROPERTY LOCATION: t V r --
SUBDIVISION
SUBDIVISION ft1Pa2X-Gi f iP CL LOT # l O )
Facility Type: S� (5a- ^Z15p New ❑ Expansion ❑ Repair
Basement? ❑ Yes "K No Basement Fixtures? ❑ Yes X, No
Type of Wastewater System** v (Initial) Wastewater Flow: Li$0 GPD
(See note below, if applicable ❑) c
�.S � o RC-cJ • S7 S . (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size sod o) gallons
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
Exact length of each trench YS O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: S'i •3 C inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. C -al)f inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INICLUDING 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: / understand the s}rtem type speciled is different lom the type specified on the app/icatiozz / accept the rpedbcirdons o/ this permit
Owner/Legal
Date:
This Construction Authorization ts sub' noon if the site plan, plat, or the intended use changes. The Construtron Aushorindon shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is sulbsmpliance m isio f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 6 1� 6
Cans n Authorization Expiration Date: 6 a1 1
HTE# 6 -S 'tm'% t3 Permit # a�9 i b
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON:
ISSUED TO: �°"LFG� ����L ��"oLtj SUBDIVISION LOT#
Authorized State Agent: "i\�\HS �b� VEsL�OLKSo�(�� Date:
my
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed FacilityA 6Qa C"� Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply:ublic❑ Individual ❑ Well
Evaluation Method. Auger B ng ❑ 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
8r LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
I
L"
a -s
O-1a`S
G 5
v�2 �t�ll(Q
S
`S
Description Initial Repair System Other Factors (.1946):
S st Site Classification (.1948): (j
Available Space .1945) Evaluated By: a'C
System Type(s) " D Others Present:
Site LTAR
t y 15C) P j(3 ' S6