IPACNTE# 1G-5`39-nH Harnett County Department of Public Health 2910
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: LFvs?.7Eq Qct
ISSUED TO: H V GA S V ctLe-s B V t L�EQs SUBDIVISION LOT #
NE !NREPAIR ❑ 1(PANSION 11Type of Structure: 5C O 63 1'x )
Proposed Wastewater System Type: aSo/o 12t9VC7s ttes STbrn
Projected Daily Flow: GPD
Number of bedrooms: L Number of Occupants: max
Basement []Yes 'X No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes WNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: '\ Date: 10 aG l b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issue eigr permits. The permit holder is resp sibk far <he<king with appropriate goreming bodies in meeting their requirements. This
site is subject m revocation if the site plan, plat m the intended use changes. The Improrememt ermit 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 Disposal and to conditions of this permit..
Construction Authorization
Reauired for Building Permit
The construction and installation requirements of Rules .1950, .1951, .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 nn
ISSUED TO: � V 6 t n S vc—g ® V 1 LO 625 PROPERTY LOCATION: ^ P w rat ZD
SUBDIVISION — LOT #
facility Type: S F SJ (63 x C -�% �( New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'R No Basement Fixtures? ❑ Yes "5 o
Type of Wastewater System** a-Se`10 RGsw Cr;\ ti N s�G sv� (Initial) Wastewater Flow: L"110 GPD
(See note below, if applicable Cl)
%—rT 6rCT (Repair)
Installation Requirements/Conditions Number of trenches y
Septic Tank Size 10 <Dy gallons Exact length of each trench 9 V feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contto''ur at a Soil Cover. b inches
``
Maximum Trench Depth of: �Cinches (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: SLG S sI— SkC CLtii �y2 cQanCa"N �cLAsN S GO G� inches total
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.
**If aRplicable: / understand the grtem type speciled it different hm the type specified an the app/icalden. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to rev the site plan, plat m the intended use changes. The Construction Authorization shall not be transferred when then is a change in ownership of the site. This
Construction Authorization is subject to con ane with i*W and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 10
Construction Authorization Expiration Date: —
HTE# � (o-- 5 3�1��iti1 Permit # �& 0
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: V 9
ISSUED T0: V v\� cLll �v LoGP3 SUBDIVISION —' LOT # =
Authorized State Agent: --9�(�,Ll OOLYZF, Date: SO } a 6\i b
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Department of Environment, Health and Natu sources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: 1`
Proposed Facility: q �(�411 Design Flow (.1949): �tiQ X
Location of Site:„,���iii Property Recorded:
Water Supply: Public❑ Individual E) Well
Evaluation Methodb'Aug Boring F-1 Pit ❑Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Sim:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Reur
Horiz
Profile
Class
& LTAR
C19,�N
�♦
F�I$P1
L_ 5
.3
�
acres
LIS>�s .
Description InitialRepair System Other Factors (.1946):
S ste Site Classification (.1948):P.)
Available Space (.1945) Evaluated By: Ck\
system Type(s) 1 i.:tiJ ” 1 Others Present: —
Site LTAR )