IPACHTE# Harnett County Department of Public Health 30106
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Vvt—'tons L—N.
ISSUED TO: M WIA-C-w �Q o ,J rJ SUBDIVISION P,G—t i CPQ Lff s,lok aaw LOT # 4A
NEW REPAIR q - _ E SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S� �dJ AG(5
Proposed Wastewater System Type: 9.5°Ie P-Z:,v0')s o W IL -N1
Projected Daily Flow: 3%e5 GPD
Number of bedrooms: '> Number of Occupants: 6 max
Basement []Yes XNo
Pump Required: []Yes ❑ No 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:: �-P Date: 5) 3 ; I l- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees i m other permit. The permit holder is responsible tar checking with appropriate governing bodies in meeting their requiremena This
site is subject to revocation it the site plan, plat, or the intended me changes. the Improveme 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
Reouired for Buildin0 Permit
The construction and installation requirement of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1956. 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: M PPSS ME'w (lowPROPERTY LOCATION: F -u 2—i oN 1—nL
SUBDIVISION 0.cgE a1+, PU T ty PM LOT # L+JN
Facility Type:S e'�b xrci J ;� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? 1-1Yes E] No
Type of Wastewater System** as'�e KCaOUG'tI ri aJ Sys(Initial) Wastewater Flow: SL O GPD
(See note below, if applicable ❑)
o IR GD. SyS. (Repair)
Installation Requirements/Conditions Number of trenches L
Septic Tank Size s oo o gallons Exact length of each trench 3 o O feet Trench Spacing: �_ feet on Center
Pump Tank Size Lo o O gallons Trenches shall be installed on contour at a Soil Cover. 'e inches
(s e u 66n 60� Maximum Trench Depth of: 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 (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 .rystem type specified u different from the type specified on the application. / accept the rpecih'cationr of this permit
Owner/Legal
Construction Authorization
Authorized State Agent:
Date:
it or the intended use changes. The Construction Authorization shall not be transient
the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Date: s ) 3 0 ) x!
Authorization Expiration Date:
SEE ATTACHED SITE SKETCH
NTE# -5'y1 `I l Permit # 30 [0-C
Harnett County Depailinent of FU)lic Health
Site Slketch
PROPERTY LOCATON: �76L�S0N L -N
ISSUED TO: MP'TSNG`� $e'-°wN SUBDIVISION Rc:QEcto, Pwi r,o n LOT # y
Authorized State Agent: ���` G for -"160— Date: 5 J 3o )l
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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:a,,, Date Evaluated:
" e
Proposed Facility: 55�2`"� Design Flow (.1949):ar'X_4
Location of Site:Property Recorded:
Water Supply: .Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring 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
#
.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
[h (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
1-5
V3
a.p "
CoLat_ t i G
, JCLG�
6'C1
r, ssISP
Ps 3
Description Initial Repair System Other Factors (.1946):
S st Site Classification (.1948):$5
Available Space (.1945) V Evaluated By.
System T e(s) /e Others Present: tn�
Site LTAR