IPACHTE# /S - S -_35yiy Harnett County Department of Public Health 28242
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION t /NY_7 Z' 1'5 ay/5 ,<,D
ISSUED TO: -- )) JtZW a G SUBDIVISION LOT # U_
NEW 12" REPAIR ❑ EXPANSION ❑ Site I rovements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Zs""l ! U Ulif-
Projected Daily Flow: q B ® GPD
Number of bedrooms: Lf Number of Occupants: $_max
Basement ❑Yes 12_ o
Pump Required: ❑Yes ❑ No ❑ Ma required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: IJ'Fjve years
Permit conditions: ❑ No expiration
A
Authorized StateDate: -5" o — 15 SEE ATTACHED SITE SKETCH
The issuance of this permit 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 revocation if 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 to conditions of this permit..
Construction Authorization
(Required for Building Permid
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .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:5' ,(=, Al -C, sn,'Y' PROPERTY LOCATION:& _14II-) zq�dls C_ -Z tJ—fes
� SUBDIVISION LOT # 1�
Facility Type: Z New ❑ Expansion Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes E;Ho
Type of Wastewater System" ? 5% ;Ees)_'ye, S1' 5— (Initial) Wastewater Flow: Y0 4 GPD
(See note below, if applicable ❑) ,
_ �'�.� /�,ll��._ (Repair)
Installation Requirements/Conditions umber of trenches 3 9
Septic Tank Size _% gallons Exact length of each trench — Q 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: 28-)l d 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 inches below pipe
/ Aggregate Depth: �- inches above pipe
C � /
Conditions: /UD 6 Cl(13>J� s) 7/`tA, - J S 46Y_,a mit AIZ-J inches total
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.
**If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications 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
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State A, �nt: Z Date:
Construction Authorization Expiration Date:
HTE# 3S"fTL
Permit # 2 8 2 Lf 2--
.p -
eprtment of niblic Health
Site Sketch
PROPERTY LOCATON: �- I V4.7 /2q7,j L e -'j J � /Li-)
ISSUED TO: SUBDIVISION :f4a-, 4— LOT # 1:7
Authorized State AeE::Date:
6,1_1
Cu'uUv5k (ev 6
V
................
+t>
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: flht__Z, l
Address: Date Evaluated: 3' 13 t (o . r'"�
Proposed Facility: ' Design Flow(. 1949): �go
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 ❑ Other
❑ 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
U
L
o-30
sc,
k®-Yfs
SU
8*C s
s�.
Description Initial Repair System Other Factors (.1946):
Systet Site Classification (.1948): r,5
Available Space (.1945) Evaluated By:Q V-7—
System Type(s) i % Others Present:
Site LTAR r