IPACNTE# 15'5 3"�s3� Harnett County Department of Public Health 28625
Imorovement Permit
A building permit cannot be issued with only an Improvement Permit
LL1� PROPERTY LOCATION:_ E.LLtti vw—
ISSUED TO: c. SUBDIVISION 00,%4s,�0^rS LOT # tts
NEW REPAIR ❑ EXPANSION [I Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SCJ �6o riG6
Proposed Wastewater System Type: Mm e 5 0 `Z)Z° a - v c T. o nl
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: _max
Basement []Yes �Qfo
Pump Requires ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community i1'.Public ❑ Well Distance from well'DO feet Permit valid for. Xlve years
Permit conditions: ❑ No expiration
Authorized State Agent:: \ Date: S f 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Neald� Department in no way guarantees ce of other permits. The permit holder is re ovisible 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: M �— r' 0 ems I s C' PROPERTY LOCATION: E- — cT ., O a
SUBDIVISION Oar r o TI LOT # Y I
Facility Type: SFP �� 6�� `{� New ❑ Expansion ❑ Repair
Basement? ❑ Yes � No Basement Fixtures? ❑ Yes No
Type of Wastewater System*" 1w mP � 2 S"/� o 'C , rJ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Qv m eTo QL'S to Q—`'1= , (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size s n cn, O gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size 1 Od0 gallons Trenches shall be installed on contour at a Soil Cover: ic-inches
Maximum Trench Depth of \<01inches (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 TON vs. GPM
Conditions: L
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 is different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representative
construction
if the site plan, plat, or the intended use changes. The construction Authorization shall not be
the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: ,lir;�5 Date:
Date:
Date:
SEE ATTACHED SITE SKETCH
HTE# 15- 6 --51S35 Permit # aI baS
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATOR:�n-
ISSUED TO: M GXx--E °'nt:5 IN L SUBDIVISION LOT #
Authorized State Agent:
Date: r�—
LSQ
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOII✓SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: L�j Design Flow (.1949):2+0
Location of Site: Property Recorded:
Water Supply: IbTublic❑ Ind* vidual E] Well
Evaluation Method- Pit cut
Type of Wastewater: Sewage Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Cl=
.1944
Restr
Horiz
scR.
77L ->s Ise
v
�6
Q
'LI
Description InitialR air System Other Factors (.1946):
e
S stSite Classification (1948).
Available Space(. 1945) Evaluated ByU�
System Type(s) V Others Present: �-
Site LTAR .1L