IPACHarnett County Department of Public Health 27730
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: �3 1-K-i 5 (uD
ISSUED TO i � SUBDIVISION 'i f Cii LOT # '5-6-
NEW E R PAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 6pb
Proposed Wastewater System Type: "L t , +'w LoA
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 12"ho
Pump Required: ❑Yes ❑ No Z'MMaa be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E7 Public ❑ Well Distance from well feet Permit valid for: 24i've years
Permit conditions: ❑ No expiration
Authorized State
Date: 1 L.-`> -1 11 SEE ATTACHED SITE SKETCH
The issuance of this permit by /he 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 lVite 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
Reouired 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: 6-41* ,� PROPERTY LOCATION: I LNO A�5
SUBDIVISION 5 �!' '►� LOT #
Facility Type: ?' Z""kew ❑l Expansion El Repair
Basement? 11 Yes No Basement Fixtures? El Yes 21 No
Type of Wastewater System ** -2-5-k, 1RG714 VU-Q S, (Initial) Wastewater Flow: �34r-Q GPD
(See note below, if applicable ❑)
-�-so ► " ; M— (Repair)
Installation Requirements /Conditions Number of trenches Lf
Septic Tank Size I C06— gallons Exact length of each trench feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 4 inches
Maximum Trench Depth of: Z6 - / 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
Aggregate Depth: _— inches above pipe
Conditions: r 2- 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 Irom the type spec /fled on the app lication. / accept the specifications o/ 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 compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Ott Al 1AIHtIJ )IIt MILH
Authorized State A Date: 2 `�
Construction Authorization Expiration Date:
HTE# Iq —57— Z
Permit # 2-7 _1 3 0
Harnett Cou-nty Department of Rtblic Health
Site Sketch
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Metho(
Applicant: c
�DateEvaluated: -2 - i 2'i ) " 7
Design Flow (.1949):
Property Recorded:
Public❑ Individual ❑ Well
l: Auger Bow ❑ Pit ❑ Cut
Type of Wastewater: 0 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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
Restr
Horiz
� 4
7'
L
=i J2
5L_
61t- &7L nr;.,14
`'
_ 0
66X 5-P
1
0-32
12,2iZ
cki e I
I X5,2-
31 -3b
-4z
sc-cr
52-� -
3
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: e2�
Others Present:
Available Space (.1945)
System T e(s)
"�"
Z`
Site LTAR