IPACHTE# P --�. — .3zy/yy Harnett County Department of Public Health 2771
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION /V. ? -7
ISSUED TO: SUBDIVISION 06 I l y LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: 3 Po 0 GPD
Number of bedrooms: _ Number of Occupants: *max
Basement 0Ye1ss No
Pump Required: OYes ❑ No ❑ MMayy k required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2 Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
Five years
❑ No expiration
Authorized State A rff.: Date: i Z -mod & "P 7� SEE ATTACHED SITE SKETCH
The issuance of this permit by Health Department in no way guarantees 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-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 T0: - ��.�►.�� Z- PROPERTY LOCATION:7l/h.�/�1�
SUBDIVISION _ A LEIS LOT #..H3
Facility Type: [t�New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes �o
Type of Wastewater System" CL 50AJZ_ /Wtyw (Initial) Wastewater Flow: 4 0 GPD
(See note below, if applicable ❑)
16516� (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size 6 gallons
Pump Tank Size � gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 2q inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover:_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
�_ Aggregate Depth:
Conditions: �°'� ! �i°r -% �c3i� -�st1 ��77tr,57 -�°
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
Z inches above pipe
IL inches total
* *If applicable: /understand the syrtem type speciped is different tram the type specified on the app lication. /accept the rpecipcations of thin permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use chances. The Construction Authorization shall not be transferred when there is a rhanoe in nwnPrshin of the cite 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 A Z Date: / 2--18—f 3
Construction Authorization Expiration Date: / 2— d -r
NTE #�'
Harnett County
Permit # 2 T7 `I I
Department of Public Health
Site Sketch
PROPERTY LOCATON•
ISSUED TO: ;� ..tC�, �,.- -� SUBDIVISION LOT # 1!43
Authorized State Agen . Date: 12-16 16 13
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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): _Vk, J
Location of Site: — Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: ❑ er Bo ❑ Pit ❑ Cut
Type of Wastewater: ff 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
De th (IN.)
—
.1956
Sapro
Class
.1944
Restr
Horiz
i
® �o
L
�' -ro
k cj
/2-
5L
62
fC.
/Z-yZ
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d
Yo
• 34�-'
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification ( 1948):
Evaluated By
Others Present:
Available Space (.1945)
System Type(s)
Site LTAR