IPACHTE# {�=�i0`T43 Harnett County Department of Public Health 29361
Improvement Permit
A building permit cannot be issued with only an Improverri Permit
�7 PROPERTY LOCATION: Z (/Y� Y2j,
ISSUED TO: 1Y( 5A*,S $1YYC� rnn�ttrfJ SUBDIVISION /�`�� I/�C�liLr� r C LOT #
NEW REPAIR ❑��EKPANSI IN ❑ Site Improvements required prior to Co ruction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: cA 2 GPD
Number of bedrooms: Number of Occupants: ax
Basement []Yes Eff No
Pump Required: ❑Yes ❑ NoL7 be required based on final location and elevations of facilities
Ma
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: 2 /Five years
Permit conditions: ❑ No expiration
Authorized StateAenn C - S ` Date: (f —/7---17 SEE ATTACHED SITE SKETCH
The issuance of this permit ih 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 revoc 4asite 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 Building Permit)
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attachedsystemlayout.
ISSUED TO: T_J t 12A L y/ > PROPERTY LOCATION: O A��AT� P—Z
SUBDIVISION �6��Ltc�A c� LOT # y 5
Facility Type: S � Ci New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Ld No /
Type of Wastewater System**/Ca�Cc�s�� LEF�eL�c�� (Initial) Wastewater Flow: c/�0 GPD
(See nate below, if applicable ❑)T�.�,�
:XZ7) (Repair)
Installation Requirements/Conditions Number of trenches 1 ZI Q a
Septic Tank Size O o gallons Exact length of each trench yfeet Trench Spacing:Feet on Center
Pump Tank Size 47.01 U gallons Trenches shall be installed on contquur at a Soil Cover. inches
Maximum Trench Depth of. 116 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
z inches above pipe
/Z inches total
**If applicable: / understand the system type speciled is different from the type specified an the app/iubon. /?crept the specilcadonr of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to 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. This
commission Authorization is subject to compliance with the previsions of the taws and Rules for Sewage Treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State A etlt -::—F" Date: V `/ Z
Construction Authorization Expiration Date: N —/ Z-
NTE# 1"]-S- H o 183
Permit # 2:!:5&
Harnett County Department of Miblic Health
Site Sketch
ISSUED T0: zar.��yr O� Gj�%%% PROPERTYSU D VISION (ATON LOT # C �
Authorized Stat �ent� / "LTf/7A�1X7 -�e: q/ -Z —1
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant: PSv4z
Address:`�
Date Evaluated: � //.Q.-7
Proposed Facility:
LDesign Flow(. 1949): 1J8�
Location of Site:
Property Recorded:
Water Supply:�
Public❑ Individual El well
Evaluation Method:/Auger
Auger BBoying ❑ Pit ❑ Cut
Type of Wastewater: R' Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Strucnre/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sap-
Class
.1944
Restr
Hera:
Profile.
Class
& LTAR
�cluv
--
G
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948): 715
Available Space( 1945) Evaluated By
System T s Others Present:
Site LTAR [ r.