IPACHTE# s"• 5669 Harnett County Department of Public Health 28416
Improvement Permit
A building permit cannot be issued with only an provement Permit p
K.
1 PROPERTY LOCATION: � l� l�1" /�j : & Act
ISSUED TO: _ //e A. (s Gam. !4,4 SUBDIVISION � J�/wj^C_ ca LOT #
NEW Ivf R0AIR ❑ EXPANSION ❑ Site required prior to Construction Authorization Issuance:
Type of Structure: Sf r 0
Proposed Wastewater System Type: _,,� 4- 2J_va�f (7ti
Projected Daily Flow: 80 GPD
Number of bedrooms: q Number of Occupants: max
Basement ❑Yes D10
Pump Required: Comes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Ei Public ❑ Well Distance from well feet Permit valid for:
Permit conditions:
Five years
❑ No expiration
Authorized State Agent:: w--- c `UDate: / /'t l 4V<J SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Deparmlent in no way guarantees the issuance of other permits. The permit holder 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..
l.yC4 6n 1 F r,a. of J
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: /under tand 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 com ' ce with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit JCC AI IALhtV 311 It MtILH
c
Authorized State Age .> Jam.. c'�/ Date: `Z0 i
Construction Authorization Expiration Date: 7 / 9 2e,kc)
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .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 T0: Al ��.
/ /�
a� �" PROPERTY LOCATION: `/v)
-W led'
SUBDIVISION
LOT # 7
Facility Type: ��>��
New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ Nop
Basement Fixtures? El Yes El No
Type of Wastewater System**
% �o �f�v �e�>l.o . f�I�••—
(Initial) Wastewater Flow: 0 GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /000
gallons Exact length of each trench feet
Trench Spacing: % Feet on Center
Pump Tank Size /000
gallons Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of. /8--76 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
/
Conditions; >>r.� -o � ihp%>�J_ C)n J— --4.j-
Aggregate Depth: inches above pipe
inches total
l.yC4 6n 1 F r,a. of J
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: /under tand 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 com ' ce with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit JCC AI IALhtV 311 It MtILH
c
Authorized State Age .> Jam.. c'�/ Date: `Z0 i
Construction Authorization Expiration Date: 7 / 9 2e,kc)
HTE # �S'-S '� /� Permit # c� Z 9 l k—
Harnett County
partment of Public Health
Site Sketch
r� PROPERTY LOCATON: 6VIZ)f
ISSUED TO: 1 er r lJ. 17a4 SUBDIVISION T <M LOT # %
Date:
Authorized State Agent ��
Ard,f ta-
�x(
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: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: O"Public❑ Individual ❑ Well
Evaluation Method: ❑A ger B ung ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
I
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
L �yv
6-t��
GILT
_14�r7iAr
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948): -
Available Space(. 1945) Evaluated By:A_L,.
System T e(s) Others Present:
Site LTAR 16