IPACHTE# y.3- ` 3 Harnett County Department of Public Health
27879
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIO
ISSUED To SUBDIVISION �12z/v5osn- f — LOT #
NEW 2 / REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z!5-- �-
Projected Daily Flow: 7) 4e-6 - GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: es ❑ No ❑ MMay� required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2' Public ❑ Well Distance from well feet Permit valid for ive' years
Permit conditions: ❑ No expiration
Authorized State nt:: G' Date: - =Z°f! SEE ATTACHED SITE SKETCH
The issuance of this permit by a ealth Department in no way guarantees he 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 i 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, .1956. 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: 66zr•.- PROPERTY LOCATION: /iZLCi,"l�ai�� . •t
/ SUBDIVISION .10A _ Jkn.. LOT # Y:5—
Facility Type: Z New �❑l xpansion ❑ Repair
Basement? F-1 Yes Nfz Basement Fixtures? ❑ Yes 2�
Type of Wastewater System" f i ,
(See note below, if applicable
Z 0602.
Installation Requirements /Conditions
Septic Tank Sized gallons
Pump Tank Size P gallons
Pump Requirements: ft. TDH vs.
Conditions:
(Repair)
Number of trenches
Exact length of each trench SO feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: i ches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
(Initial) Wastewater Flow: -3&0 GIRD
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: L. inches above pipe
Z inches total
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.
* *If applicable: l 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 Dian. Dlat or the intended use changes. 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
Authorized State
Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date:
Construction Authorization Expiration Date: i'—
HTE# N-5--336Z3 Permit # 2--2977
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: �;L /Yft i5 c r %�A..S
ISSUED TO: /l %;4`5j\ -- SUBDIVISION <. + `j— `—"-s LOT #
Authorized State Ag Date:
1
1
d J
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
r
Owner: Applicant: gvl —�
Address: Date Evaluated:
Proposed Facility: I' Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: . u -blic❑ Individual ❑ Well
Evaluation Method: Q gerer Boring ❑ 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
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
,i
C+
Description
Initial
system
Repair System
/
Other Factors ( 1946): 7N
Site Classification (.1948): ! )
Evaluated By:
Others Present:
Available Space(. 1945)
System T e(s)
Site LTAR
it