IPACHTE# Harnett County Department of Public Health 28917
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: V— Ra.G� «p
ISSUED TO: ) -� QC10QGra_,117--5 SUBDIVISION I LOT #
NEW, REPAIR ❑ EVANIO ❑
Type of Structure: M 4" K0 M f llS0
Proposed Wastewater System Type: 95'16 9,M V Iry 1 o N Sys76NN
Projected Daily flow: GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes �No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes��o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: Xfive years
Permit conditions: ❑ No expiration
Authorized State Agent: _ Date: —711 1 [ 6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees then other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject no revocation it the site plan, plat or the imended use changes. The Imptart—emillfs 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 sad 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, .1951, .1958. 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: LD prLric? LSI Cos PROPERTY LOCATION: �f�2 7 dZfl
SUBDIVISION LOT #
facility Type: "f+ H \a 0 m L �� �' t i New ❑ Expansion ❑ Repair
Basement? ❑ Yes �. No Basement Fixtures? ❑ YesNo
Type of Wastewater System** � " w P.Epy C7\ C N (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
PVcc1Q cs a (Zf-I)Repair)
Installation Requirements/Conditions Number of trenches f
Septic Tank Size i o o 1Z gallons
Pump Tank Size gallons
Pump Requirements: N. TUN vs.
Conditions:
Exact length of each trench feet
Trenches shall be installed on contour at a
Maximum Trench Depth of inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing. Feet on Center
Soil Cover: Q,"—L inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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
inches above pipe
inches total
**If applicable: / understand the system type specified is d*rent from the type speafied on the application. / accept the rpecificanovzr of this permit
Owner/Legal Representative Signature: Date:
This construction Autlmri:ation is sohje n d the sin'' plan, plat or the intended me Changes. The Construction Authorindon shall not be transferred when there is a change in ownership of the site. This
construction Authorization is s pl t�wes DR*—Laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ,XL a Date:
Date:
HTE# %-5 0--7 So
Permit #
Harnett County Department of Vlblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: SUBDIVISION — LOT #
Authorized State Agent: �oL,vUL-�0Ly.5GrjSS Date: I T W b
90'
Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
Property ID:
On -Site Wastewater Section
Lot #:
.1941
Structure,
Texture
$� 1
File #:
SOIL/SITE EVALUATION
Code:
for ON-SITE WASTEWATER SYSTEM
.1944
Restr
Horiz
Owner: Applicant:
Address:� Date Evaluated: \
Proposed Facility: L-) r`2>O(L Design Flow(. 1949):14hOg>
Property Size:
Location of Site: Property Recorded:
Water Supply: -
Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method�Auger Bonng C3 Pit ❑Cut
Type of Wastewater: [Sewage ❑ Industrial Process ❑ Mixed
P
R
OOTHER
F
1
L
E
#
1940
Landscape
Position/
Slope %
5
S—
Horizon
Depth
(In.)
Cl -4
SOIL MORPHOLOGY
.1941
PROFILE FACTORS
Profile
Class
& LTAR
P5
.1941
Structure,
Texture
$� 1
.1941
Consistence
Mineralogy
N.5)rvy
.1942
Soil
Wereess/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
1�
65
.S
s
v
Description Initial Re air System Other Factors (.1946):
Des
System Site Classification (.1946: P
Available S ace (.1945) Evaluated By:
System T e(s) r1\ Others Present:
Site LTAR
1 xti 6 0 3U — a'%