IPACHTE# Hari.ett County Department of Public health 28941
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
1, PROPERTY LOCATION: t�}C�
ISSUED TO: PIC, �ENGGS i 10C�G> SUBDIVISION T es o6ti LOT # 16t 1
NEWWX REPAIR ❑ ERPANSIQN 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:y.1.\ �� J
Proposed Wastewater System Type: 9 S 7cv ay G•S10 v v
Projected Daily Flow: 3,G0 GPD
Number of bedrooms: `2 Number of Occupants: max
Basement ❑Yes No
w
�l,
Pump Required: Dyes ar No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �KPubljc ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the issuanc
site is subject to revocation if the site plan, plat or the intended use changes. The Impn
the laws and Rules for Sewage Treatment and Disposal and to canditions or this permit.
Date:
SEE ATTACHED SITE SKETCH
permits. The permit holder is responfble for checking with appropriate governing bodies in meeting their requirements. This
'ermit 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 .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shelf be met. Systems shall be instilled in accordance
with the attached system layout
ISSUED TO: QI 4 G� �Gc ctiS N�M6S PROPERTY LOCATION: N�-1
SUBDIVISION NI "Gf-,4 c» N Tf- LOT # 6t )
Facility Type: SAO C63 �Ll New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement lxtures? ElYes X No
Type of Wastewater System** Sd�a U W (Initial) Wastewater Flow: 3L GPD
(See note below, if applicable ❑)
2510 (Repair)
Installation Requirements/Conditions Number of trenches I Q
Septic Tank Size 4 oy gallons Exact length of each trench -'L-2>0 feet Trench Spacing: I Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of )r G 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. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: Q wl gL Iss1)G:,� Ac'eUL- tay!5�-CSsa-�4 ctq�Vt smgL <Z"6Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 speciffed it different from the type specified on the application / accept the Wiriiffcatiens of this permit.
Date:
This Constmction Authorization " ' to revocation if the site plan, plat or the intended use changes. The Construction Authorization shag not be transferred when there is a change in ownership of the site. This
construction Authorization is mmphanc he pmvisims of the laws and Rules for Sewage Treatment and Disposal and te the wnditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: t 1S Date: -6
o stz l�'a� Authorization Expiration Date: -
HTE# 1(o -n-',`' 5QA Permit # I
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: kl)
ISSUED T0: SUBDIVISION ^rvyt; j LOT # 161Y
Authorized State Agent: ' b `'ri KShO E) Date:
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Department of Environment, Health and Nc i Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3QX r., Design Flow (.1949): 3�031S'
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:�uer oring El pit El cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property IL:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
SOIL MORPHOLOGY
.1940 .1941
Landscape Horizon
Position/ Depth .1941 .1941
Slope % (in.) SWcmreJ Consistence
TexNre Mineralo
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
1942
Soil
Wetness/
Color
.1943
Soil
D th (RJ.
.1956 .1944
Sapm Restr
Class Horiz
y�
1T �X sLl 5s)0-)0—
VC,
V C, ^tP
o
o�� ssu s cL VIL
,
cx2 2ca 3 3
P 5
Description Initial Repair System
S ste
Other Factors (.1946):
Site Classification(. 1948):
Evaluated By: 0'(
Others Present—
Available S ace (.1945
S stem T e(s) 2®
Site LTAR