IPACHTE# 3 -� =3zZ2 Harnett County Department of Public Health 2�7 5q
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I-A4r- 2D
ISSUED TO: -'57'AfiC_T- =1 =�'Y_ SUBDIVISION TL)e -g T I I) y LOT # 571
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 1 • { ?A �%a FZPrf1 J `�
Projected Daily Flow: 96, PD
Number of bedrooms: Number of Occupants: (p max
Basement ❑Yes No
Pump Required: Yes ❑ No ❑ May h. required based on final location and elevations of facilities
Type of Water Supply: F-1 Community L Public ❑ Well Distance from well feet Permit valid for: Ls ttve years
Permit conditions: ❑ No expiration
Authorized State Agent. .4.' ' _� ' Date: f D - Z S- - 15 SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth Department in no way gu rantees 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 t e 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: 5 44 C.—'-( (3 fJP46/ C�6 PROPERTY LOCATION: ay2 /yZ7 Chdkb e,, � /2-b
SUBDIVISION M -X!— 11- -( LOT #
Facility Type: 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
Type of Wastewater System ** i�ua.� �n 2S-6l6 (Initial) Wastewater Flow: 3 LQ GPD
(See note below, if applicable ❑)
Pt, 6 (Repair)
Installation Requirements /Conditions Number of trenches 5
Septic Tank Size / o ®b gallons Exact length of each trench 50 feet Trench Spacing: Feet on Center
Pump Tank Size f 06 b gallons Trenches shall be installed on contour at a Soil Cover:_ inches
Maximum Trench Depth of: Zfo J / 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
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
Z 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 Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site clan, slat. or the intended use chances. The Construction Authorization shall not be transferred when there is a change in ownershin 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 Agent: Jr Date: lb - Z g -/ 3
Construction Authorization Expiration Date: f " - Zg -15
HTE# 13-5- 3222 -y Permit # R `7 5'9 Z
arnett County Depailinent of Public Health
Site sketch
PROPERTY LOCATON: S1
ISSUED TO: - 574N6r4 BVZ4 Q P-A S SUBDIVISION bl--X LOT #
Authorized State Age � Date: i3
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Department of Environment, Health and Natural Resources
Division• of Environmental Health
'On -Site Wastewater Section
t
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: 6¢ Date Evaluated:
Proposed Facility: �° Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: 11 Public❑ Individual ❑ Well
Evaluation Method: 0-AugerBor'ng ❑ Pit ❑ Cut
Type of Wastewater: E Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F S
.1940 .
Horizon .
SOIL MORPHOLOGY O
OTHER
Profile
.1941 .
.1941 S
.1942
.1943 .
.1956 .
.1944 P
I L L
L -v� a
a zK s
sc.
OKI
-36
Description Initial Repair System Other Factors (.1946):
system Z Site Classification (.1948): �S
Available Space (.1945) Evaluated By: !_
System Type(s) -Z-y-" Z..V -r—, Others Present:
Site LTAR - `{