IPACHTE Harnett County Department of Public Health 29092
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�J \ PROPERTY LOCA l.i 'rte
ISSUED TO: Iia � /- S SUBDIVISION �l�dSn1 Gtao LOT # C.
NEW 5K REPAS� EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System TyYk�e: Zs :2v �eQ_
Projected Daily Flow `PYA GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes No
Pump Required: es ❑ No ❑ May be required bapd on Final location and elevations of facilities
Type of Water Supply: ❑ Community O Public Q Well Distance from well 00 C feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized Sate /A'(�9+ I r� Date: / I —'T — ! (� SEE ATTACHED SITE SKETCH
The issuance of this permit 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 revocation if the 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 Disposal and to conditions of this permit.
Construction Authorization
Required for Buildine Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit ad shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: �)LPROPERTY LOCATION: 1+11, y SS'
Facility Type: c.) T'
Basement? ❑ Yes ❑'
Type of Wastewater System"
(See note below, if applicable
SUBDIVISIONLOT # _(a_
21 New ❑/Expansion ❑ Repair
Basement Fixtures? ❑ Ye: No
❑) d
d— —15'7— ?-0 13 S(Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size 1260 gallons Exact length of each trench �. feet
Pump Tank Size /ices gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2q—)f e inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: L0° 0 GPD
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
7 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 applicable: / andetstand the syrtem type specfled is different from the t}pe specfled on the app/icabon. / accept the spec/lcalonr of this permit
permit
Representative Signature: Date:
This construction Authorization is subject in revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. Thin
Construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized Sta Date: If —5' `! (o
t1ii;-,-e onstruction Authorization Expiration Date: / t —g — 2./
HTE# S�31D Permit # a 5 0 9 i
Harnett County Department of Miblic Health
Site Sketch
PROPERTY LOCATON: SSS/
ISSUED TO: /�O�MGL 'rte C s SUBDIVISION , LOT #
Authorized State
s-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:slk-3 r.&G. � f4Pplicant:
Address: 41oi n{t r5 CrCNC Or, Date Evaluated: t I / V r b
Proposed Facility: HcxynL Design Flow(. 1949): 4 V ya
Location of Site: Porn(06,Grsov Property Recorded: Y¢S J
Water Supply: ❑ Public[] Individual Well
Evaluation Metbodf3 Aug Boring El pit E] Cul
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
N�-,
Property Size: 10 GAS
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOB, MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure,
Texture
.1941
Consistence
Mineralogy
.1942
soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Restr
Horiz
7fid'
L a•Gd�
4M ivGi�
C
7.5rR 3h C3(�'
_
._
..
35
Description Initial Repair System Other Factors (.1946): o✓, �
S ste Site Classification (.1948): Pre. ; ,,.,t i� S a' 4r„ tK-
Available Space(. 19 5) o Evaluated By: A n d r2 ..o C o f c i P J T.
i(IG nhrs y Ct µ5
System T s 2s o L° u Q -r -d • i
1 Others Present:
Site LTAR e 0 3