IPACHTE# /y- s -33c.s / Harnett County Department of Public Health 27850
Improvement Permit
A building permit cannot be issued with only an Im rove/m�ent11Permit
PROPERTY LOCATION: �!►/ 7ah ✓�
ISSUED T0: !e a v /14 0411- SUBDIVISION LOT #
NEW L? REPAIR ❑ EXPANSION ❑
Type of Structure: /41 la X302 Y 76
Proposed Wastewater System Type: 6USYQ A-e.( Qcf:cn vl'
Projected Daily Flow: 1/60 GPD If
Number of bedrooms: Y Number of Occupants: max
Basement ❑Yes 2-10
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes 1�1 o ❑ May be required ba3ed on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Lit' Well Distance from well %d0 feet
Permit conditions:
Permit valid for
2-five years
❑ No expiration
Authorized State Agent: 4ZL,c.�s..,.., 4zt? . t Date: J R °f2 ��y SEE ATTACHED SITE SKETCH
-z
The issuance of this permit by the 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 TO:
PROPERTY LOCATION: A"IfdrJt-, ,N.
SUBDIVISION LOT #
Facility Type: A 14 12"'New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2'—No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"* c,2J-7d %�ed�� -``� �1�� _ (Initial) Wastewater Flow:
(See note below, if applicable ❑)
(Repair)
Installation Requirements /Conditions Number of trenches •3
Septic Tank Size /000 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 56 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: /8 - .70 inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
cq 0 GPD
Trench Spacing: `� Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING 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
inches above pipe
inches total
* *If applicable: 1 understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan, plat, or the intended use chances. The Construction Authorization shall not be transferred when there is a chancre in ownershin of the site. This
Construction Authorization is subject to complia a with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
C
Authorized State Agent: - c'/ Date:
Construction Authorization Expiration Date:
HTE# 33(- / Permit # �- 8S—j
Harnett County ]Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: s <c Nt`Z SUBDIVISION LOT #
Authorized State Agent - Date:
�� -1 z C/Y
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: -5 AI 6, `l
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:�
Water Supply: ❑ Public❑ Individual L_I Well
Evaluation Method: [2 Boris' ❑ Pit ❑ Cut
Type of Wastewater: ❑ /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
—I
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
6 U
;U
�(�C
��2
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):01
Evaluated By: 14 `-
Present: /hP AN-c
Available Space (.1945)
System Type(s)Others
Site LTAR
6-