IPACHTE# Harnett County Department of Public Health 30115
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: �vNo 00_ISSUED TO: L�MGo C� °r. �Uls OC25 SUBDIVISIONya66.4 90 TE LOT # t
NEW 'V REPT
Type of Structure: S'ZC
Proposed Wastewater System
Projected Daily Flow: _
Number of bedrooms:
Basement ❑Yes
ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
x tt5�
_ GPD
Number of Occupants: max
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 conditions:
Permit valid for:
Five years
❑ No expiration
Authorized State Agent: b �� �. Date: 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t of other permit. The permit holder is respon ble 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 Impro ent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The constmrnon and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in aaordance
with she attached system layout.
ISSUED TO: LLrrx-rNCX Cv7<0w bVY-)EQ,5 PROPERTY LOCATION: —Z-VNo Da.
SFC �yS
SUBDIVISION "Z�w
1; 6a
LOT # S C
Facility Type:
New ❑ Expansion ❑
Repair
Basement? ❑ Yes ,� No
Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
�.5°�� R-BLovC5aor
S-+Sse^"t
(Initial) Wastewater Flow: 3C GPD
(See note below, if applicable ❑)
R6D. S -IM,
. (Repair)
Installation Requirements/Conditions
Number of trenches t
Septic Tank Size so0d
gallons
Exact length of each trench 2�S
feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil (over. inches
Maximum Trench Depth of: 1-Z
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. TDH vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
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 system type specified /s different from the type specified on the app/icadon. / accept the ipecifcationr of this permit
Date:
This construction Authorization is su6je° to it the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when dere u a change in ownership of the site. This
contraction Authorization is subiect a compliance with_die prowenrof the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
i
Authorized State Agent: esfii3 Date: 7 3`
Construction Authorization Expiration Date: c
HTE# Iib' S 2-13 0�--7 � Permit # -10 1 t S
Harriett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 5v o mac.
ISSUED T0: L ��c� CvS' O - SUBDIVISION —tea e Ger ON r v6 LOT #I1_
Authorized State � , 4aL `YOL.�o(j�� Date: �
ZVN, UQ,
n
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: 99D¢,ty--,, Design Flow (.1949): 3�4
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Metho Augers Bo ❑ Pit ❑ Cut
Type of Wastewater: Sewage El Industrial Process
Sheet:
Property ID:
Lot M
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
p
.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 J
.1956
Sapro
Class
.1944
Restr
Horiz
)
L9
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o -3b
� �� �
Yom, .�l�P
5 x sc
PS
jTcl, rs5��S
PS
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) `a -•S .r Others Present:
Site LTAR `>h