IPAC RHTE# ?,3�b Z Harnett County Department of Public Health 27881
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONz U
ISSUED T0: % ft4 �f L"32 4l . SUBDIVISION � s LOT # ' f°
NEW 0 REPAIR ❑ EXPANSION ❑ Site Improvements requir prior to Construction Authorization Issuance: t�
Type of Structure:?
Proposed Wastewater System Type: 2—'K �7ts
Projected Daily Flow: '3 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes�,� - NfNoo
Pump Required: L�d•Tes ❑ No ❑�May�e required based on final location and elevations of facilities
Type of Water Supply: F-1 Community 2� Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
Five years
❑ No expiration
Authorized State Age (. — Date: t q — f c i SEE ATTACHED SITE SKETCH
The issuance of this permit by the a th 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 si a 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: j" s PROPERTY LOCATIOV50 r 03 Coke,- 66
�,,�° SUBDIVISION LOT # 5
Facility Type: lT" New �❑1 Expansion 1771 Repair
Basement? 11 Yes No Basement Fixtures? El Yes L�'No Lila
Type of Wastewater System ** 4 R 6 " P (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
C ��- (Repair)
Installation Requirements /Conditions 4 Number of trenches
Septic Tank Size gallons
Pump Tank Size OOC> gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 1 `L feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: o 4 1 inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 7- inches above pipe
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: l understand the system type specified is different from the type specified on the application. 1 accept the specipcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan. plat, or the intended use chanees. The Construction Authorization shall not be transferred when there is a chance in nwnershin of the site_ Thit
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 r� Date: f_
Construction Authorization Expiration Date: (�
HTE# Permit # 'Z� /
Harnett County Department of I'ablic Health
Site Sketch
PROPERTY LOCATON
ISSUED TO: SUBDIVISION
Authorized State
cat
jfbtj,4 LOT # Ltj-�—yy
Date: LJ
S,
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: 'S I
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): 7
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual El Well
Evaluation Method:❑ uger Borin ❑ Pit ❑ Cut
Type of Wastewater: 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
1� L
L
,-30
SL
2, ,2,.�c�,�
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
?
Z $r —
Site LTAR