IPACHTE# Harnett County Department of Public Health 3 0 1 2 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: WtLt L -VC N-, 194
ISSUED TO: `t GQ -4-O4 , N L SUBDIVISION $wGG[rcAfS:2 LOT # 4S
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sc pCR 'r.SO�
Proposed Wastewater System T pe: 25°t a Rep � h o a SYaSE n
Projected Daily Flow: U0 GPD
Number of bedrooms: I -Y Number of Occupants: 0. max
Basement ❑Yes Ig No
Pump Required: ❑Yes .3",No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community !KPublic ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: \ ❑ No expiration
Authorized State Agent.: H� Date: b�ly��f SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu f other permit The permit holder is respo ! far checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the sire 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 in 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 attached system layout.
ISSUED TO: v E2c,o ,r 1 N G PROPERTY LOCATION: GP's (0
SUBDIVISION S—G&TWDrQQ- LOT # '-15
Facility Type: SrFD X40 S �� New ❑ Expansion ❑ Repair
Basement? ❑ Yes '"M No Basement Fixtures? ❑ Yes 1-1 %Type of Wastewater System" OLS[ n 'REO U CA � 0 a y 5 = G run (Initial) Wastewater Flow: 410 GPD
(See note below, if applicable ❑)
�5 V- Q, Go vC'c v O t4 S0 43. (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size soe a gallons Exact length of each trench Z"46 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on (enter
Soil (over. 3lb inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / underrtand the grtem type rpedled it different hom the type rpedled on the application. / accept the rpecifievionc of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization it su le 'on if the sice 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 is subjeops compliance a of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
[Authorized State Agent: Date: G1 I9 ff
C'6action Authorization Expiration Date: 61 St.St.1 W
HTE# �� — S Li `i 16 � Permit # 2)Oti a.b
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: w ti Lv c psi
ISSUED TO: , v >r TN rr SUBDIVISION S ey;+ra Ft 1 LOT #
Authorized State Agent: �s O�w(,2 ° Y—�oj� Date: 6I)c l 1$
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: U eDq n Design Flow (.1949): DSd 0 S�� Property Size:
Location of Site: Property Recorded:
Water Supply:Public❑ Individual ❑Well ❑Spring ❑Other
Evaluation Method:uger Boxing ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
L5
Q-1
a�36
$Iv
J) N�
al—�0ksu
�� 55f (cP
P�
S—
50��
� S
VCn NS�pC
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948): r -
Available Space(. 1945) Evaluated By: p)(
System Type(s) i Others Present:
Site LTAR