IPACHTE# Harnett County Department of Public Health 29421
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ck
ISSUED TO: JR e'Efr'— SUBDIVISION — LOT #
NEWIK REPAIR ❑ PANSION 11Type of Structure: 9 F� �.5u> '�3�
Proposed Wastewater System Type: ')�° o i�uC t o.N y5 E cvv
Projected Daily Flow: Co c�)O GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes >Q No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Dyes '�S(No ❑ 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: five years
Permit conditions: S=:-- ❑ No expiration
Authorized State Agent: :!� 9 5 Date: 3 113 I S� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu u gi other permits. The permit holder is resp sible 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 Improve Aye 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 o1 this permit.. �
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, ASS. 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: (Zo wFSm M J. -t!Sv PROPERTY LOCATION: rl l G LS
SUBDIVISION — LOT #
Facility Type: `� LS it n S� Newa� ❑ Expansion I—]Repair
Basement? ❑ Yes � No Basement fixtures? LI Yes XN
Type of Wastewater System** Q-SYo V'C:p ucr, tc3 tJ�� ' �Sd (Initial) Wastewater Flow: G450 GPD
(See note below, if applicable ❑) / C
o�sb (Repair)
Installation Requirements/Conditions Number of trenches 5
Septic Tank Size N.;, O gallons Exact length of each trench 100 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: 1a inches
Maximum Trench Depth of: Wi inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.1/4" 36" above the trench bottom)
in all directions) ON ZTJWNy+� ':'-
Pump Requirements: ft. TDH vs. GPM S ,cz,G inches below pipe
I
-`_ `` Aggregate Depth: inches above pipe
Conditions:`�Gr66�47E S oLWP.tLS ` )26NC� Qoisom Nfminches total
WATER LINES (INCLUDING 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 grtem type rpecibed it different /mm the type tpeciled on the app/intron. / accept the rpec*jtionr o/thir permit
Date:
This Construction Authorization is subject to revo a me p an, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is. b�iC`o compliance he provisions aws and Rules for Sewage Treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: n��_ �:'" 3 Date:
Date:
HTE# ! l 5- LTOD(�LA Permit # a',4a�A
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: QS�� WSL6�J SUBDIVISION LOT #
Authorized State Agent:
Date: 2) )3 ID
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: S g09 M Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation MethodZ\Auger Boring [I Pit ❑ Cut
Type of Wastewater:Sewage E]Industrial Process F-1Mixed
P
R
O
F
1
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
lb ->s
U ^
SCj )c C-
V'm 51 -Pe
Q5
.3
\i u"-)f�c�
Lp ; (s� vA2 v
C4
L
Description Initial Repa' System Other Factors (.1946):
S ste Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s)1. Others Present:
Site LTAR -%