IPACHTE#-#.�: -38 �7o Harnett County Department of Public Health 28890
Improvement Permit
A building permit cannot be issued with only an Improvement Permit L `�
��// , / PROPERTY LOCATIO :� y "Jerm�} /L% -N
ISSUED TO• `l & ✓atl [� m6rxw ._ T>� SUBDIVISION LOT # Z
NEW 1V � R 11 _ I EXPANSION ❑ Site Impp vements required piior to Construction Authorization Issuance:
Type of Structure: _
Proposed Wastewater
Projected Daily Flow: _
Number of bedrooms:
Basement ❑Yes�
Pump Required: f3Yes
Type of Water Supply:
Permit conditions:
_ GPD
Number of Occupants: max
❑ No ❑ Maa required based on final location and elevations of facilities
El Community Public ❑ Well Distance from well feet
Permit valid for.
ur rive years
❑ No expiration
Authorized State ent: G /"(fi2L �StS/ Date: /. G> —/ y SEE ATTACHED SITE SKETCH
The issuance of this permit q e Health 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 reveal i 96, 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 Deposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 act incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: PROPERTY LOCATION: i
SUBDIVISION LOT # 7—
Facility
Facility Type: E4 New �0 ansion ❑ Replli
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
Type of Wastewater System** 71i-yri �S�s (Initial) Wastewater Flow: 36'a.6 GPD
(See note below, if applicable ❑),45:T?!
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /,900 gallons Exact length of each trench _9-0 feet
Pump Tank Size 1 Od*O gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. � inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: H. TDH vs. GPM
Conditions:
Trench
Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
inches total
WATER LINES (IN(LUDING 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 r}rtem type specified it different hmm the type specified on the app/kation. / accept the rpedhcationr of this pemlit
Owner/Legal Representative Signature: Date:
This Conenuetims Authorization a subiea to revoatinn if the site van chat or the intended use chances. The Comtrurtion Amm,n tion shall not he tansferred when there is a chanee 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 conditions of this permit )t[ AI IAI.neU lilt MUCH
Authorized State t:Date: 1,-2r, -/ 6
Construction Authorization Expiration Date: G - 29- 4"
HTE# )fie' S -3d5 J 0
Permit # z sgso
Harnett County Department of Public Health
Site Sketch
I 1 PROPERTY LOCATON29_/�7 %e--��
ISSUED TO: ✓�LAJPt C^eris�7uc 7rn� .?-v7 SUBDIVISION LOT #
Authorized State Ao,��� Date: 415 � /L
� Uc'vj Pn lij- X6
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: L-5'yMJ
Address: Date Evaluated: 61 —Zg'%6
Proposed Facility: n Design Flow (.1949):'3�
Location of Site:�/ Property Recorded:
,
Water Supply: L7 Public❑ Individuaj, ❑ Well
Evaluation Method:[] Auger B g a Pit ❑ Cut
Type of Wastewater: Lej Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
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
�Z�~L
LGL
tom— fr.
3v �7J �• /
r /
Description Initial Repair System Other Factors (.1946):
System Site Classification'
1948
Available Space( 1945) Evaluated By'
System Type(s)) Others Present:
Site LTAR ♦ r