IPACHTE#THarnett County Department of Public Health 28867
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
q _ ' / ^ PROPERTY LOCATIONSL L YN cd /� r
ISSUED TO-2� T)/NiGS EL +�1�-J (>rss,vD SUBDIVISION �T}eL,J 1 Ir -44I=; Q LOT # 7-6
NEW Q' REPAIR ❑ EXPANSION Site Improvements required prior to Linstruction Authorization Issuance:
Type of Structure: S* �
Proposed Wastewater System Type: rlri4"�
Projected Daily Flow: LP 196 GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes
Pump Required: []Yes ❑ No �Maa a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LG Public ❑ Well Distance from well feet Permit valid for.FL7 ive years
Permit conditions: ❑ No expiration
Authorized Staafi--A G_ /- `Date: )>�(et=jR SEE ATTACHED SITE SKETCH
The issuance of this p it by the tealth Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revo a 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 condition of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirement 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 TO�" PROPERTY LOCATION: ML-/yY& i 1=ZO-) S R. -D
_ / SUBDIVISION 7T 5 �e u� LOT # Z-0Facility Type: -S/'� Q New El Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Q"No
Type of Wastewater System*` (Initial) Wastewater Flow: d GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trend es
Septic Tank Size gallons Exact length of each trench /OD feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Pump Requirements: ft. TDM vs.
Conditions:
Maximum Trench Depth of: Z inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
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.
4 inches below pipe
2 inches above pipe
/2 inches total
**If applicable: / understand the syUem type spechfed it different from the type .specified on the application. / accept the specifcefiont 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
Conuruttion Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of tlht permit SEE ATTACHED SITE SKETCH
Authorized State A 7<0
Construction Authorization Expiration Date: 5" 7-& ` L/
HTE# b 3bypo Permit # Z B 06"1
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON—A. INu 8 (4TIZrNg R 0
ISSUED TO: W04�� � � �ur��.7 DIVISION -Cl LOT # 2D
Authorized
Date:
g6,�� wvkrf
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:Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 4T—Sewage ❑ 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
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Res[r
Horiz
Site LTAR
qtr.
J
C' � L7
PL
1 1 tip_
3
1=;CZ
o -at
DescriptionInitial
Repair System
Other Factors (.1946):
S stem
Site Classification (.1948): S
Available Space(. 1945)
Evaluated By-
y:S
System
stem Type(s)
ZO"`+
Others Present:
Site LTAR
Y V`