IPACHTE#I--) _5 Ls�6�1-1 Harnett County Department of Public Health 29669
Improvement Permit
A building permit cannot be issued with only an II"provement Permit
n PROPERTY LOCATION: WnI-L. Lvcv�S P�o
ISSUED T0: & SUBDIVISION LOT #
NEWX, REPAIRE1 M!JON ❑ Site Improvements required prior to Construction Authorization Issuance:
C]
Type of Structure: SFO Lao xL0
Proposed Wastewater System Tyjppe: aS-/vs f QVC.-,' off
Projected Daily Flow: "Tit) GPD
Number of bedrooms LA_ Number of Occupants: max
Basement ❑Yes XNo
Pump Required: []Yes �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: ❑ No expiration
Authorized State Agent: �i Date: 7 I �'-) )1 —)-7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees �ssuan a of other permits. The permit holder is msponsnk for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it 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 in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .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 attached System 13YOUL
ISSUED T0: PROPERTY LOCATION: fit`) ILit- LvOkts
SUBDIVISION 44 Gj-=N,4 KTEa LOT # Q'1
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Z-1;;7% (Initial) Wastewater Flow: LA10— GPD
(See note below, if applicable n) -C
o4'S A �C..DUG5sC1�.S g77 (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size Ao vc) gallons Exact length of each trench a1*0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover:_ inches
Maximum Trench Depth of: t"a0 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: ft. TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
*II applicable: / undeahnd the system type specified it different fmm, the type specified on the app/icatioa / accept the rpecilcadanr of this permit.
Owner/Legal Repreiteuttative Signature: Date:
This Construction Authorization is subjec nation i e 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
construction Authorization to tom wi to of the laws and Aules for Sewage Treatment and Disposal and to condition of this permit SEE ATTACHED SITE SKETCH
Authorized State AgentDate: `J
Co ion Authorization Expiration Date: 7 7 1 3,;L-
NTE# �_)-5-44AV -1
Permit # an(6 I
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: ��t L T— AAs Rip
ISSUED TO: VvlarzP Co 1_9t LNC SUBDIVISION LOT# al
Authorized State Agent: oLav6rt_�'o]2Y'6001- Date: _ 7 )_7 11
I I
aap'
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): L,�Y?Q .PJ
Location of Site: Property Recorded: ✓.
Water Supply: PublicIndividual El well
Evaluation Method�Aug r Boyr ng ❑ Pit ❑ Cut
Type of Wastewater: ,Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1946
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
.1941 1941
.
Structure/ Consistence
Texture Mineralo
OTHER
PROFILE FACTORS
1942
Soil
Wetness/ .1943 .1956 .1944
Soil Sapro Restr
Color De th (M.) Class Horiz
Profile
Class
& LTAR
kPL
+�..�
G �
�(t�'!, ^✓'1 r,�
•fib
ca-
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anti
s, � g
F -5
't 1-�3K
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s3) P
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Description Initial Repair System Other Factors (.1946):
Syste;E Site Classification (.1948): -P3
Available Space (.1945) Evaluated B
S stem T e(s) / '(L y'
sift t Te o _. Others Present: