IPACHTE #rS-&3C'2�5 �0 Harnett County Department of Public Health 28344
Improvement Permit
A building permit cannot be issued with only an.II rovement Permit
PROPERTY LOCATION: 6C.N
ISSUED TO: 1�2)lz., C:c. oqtia 'Aq&LSLN SUBDIVISION `4s`NC— -,-tY,t�LOT #
NEW REPAIR ❑ E PANSIQN ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M P, ^t `A 0 m /-76D
Proposed Wastewater System Type:
Projected Daily Flow: L— % GPD
Number of bedrooms: " Number of Occupants: 9 max
Basement ❑Yes XNo
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community XPublic ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: w'— Date: a- 7 S SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan other permits. The permit holder is respo Bible 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 Permit)
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: Rv ce S:O�� c--
Facility Type: c'` �' 9 M6New
Basement? ❑ Yes No Base!n6nt Fixtures? ❑ Yes
Type of Wastewater System** ` L'� YrZ R-eovC--�
PROPERTY LOCATION: —TN
SUBDIVISION 4.��rn6�sLLy ' ^N Ew�t.�2�t_ LOT #
❑ Expansion El Repair
`� No
a 0 cwt 1/ 5 � L Kl
(See note below, If applicable ❑) (� ��
�--C.0 U G'S" � (Repair)
Installation Requirements/Conditions Number of trenches 3 e
Septic Tank Size t Q d gallons Exact length of each trench Q feet
Pump Tank Size gallons Trenches shall be installed on contour at a (.0
Maximum Trench Depth of: a —'DLA inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: 4% 0
Trench Spacing: i Feet on Center
Soil Cover: Co�"1_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
U
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the specifications of this permit.
Owner/legal Repre nature: Date:
This Construction Authorization is subject to r vocation n, 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 Authorizatio to compliance w he provision ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: �=�\ \\v Date: 61 ZE3
Construction Authorization Expiration Date: lao
HTE# ,S' 5 3635 j6
Permit #�� u
Harnett County Department of Pablic Health
Site Sketch
_ PROPERTY LOCATON: tiN 66 ry
ISSUED TO:C-F- �� �'' E-�'� � SUBDIVISION LOT #
Authorized State Aden® t- Date:
1nlC��Sv 4
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: ul C3p1 Design Flow(. 1949): CSO Jh�
Location of Site: Property Recorded: 1
Water Supply:Public❑ Individual El Well
Evaluation Method: Au er Boring ❑ Pit El cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
Description Initial Repair System Other Factors (.1946):
system, Site Classification (.1948):t5
Available Space(. 1945) Evaluated By-( "1
System Type(s) ti �.. Others Present:
Site LTAR a" y
P
R
O
F
I
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/
I Color
1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
L
C,cz
ati���
Description Initial Repair System Other Factors (.1946):
system, Site Classification (.1948):t5
Available Space(. 1945) Evaluated By-( "1
System Type(s) ti �.. Others Present:
Site LTAR a" y