IPACHTE# -g 3 4 Harnett County Department of Public Health
27900
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ ` PROPERTY LOCATIONc3� 56 m J��' 4zJS fZ4i
ISSUED TO• G/J SUBDIVISION LOT #
NEW � EPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ® b
Proposed Wastewater System Type: PV�J— lByi
Projected Daily Flow: 3400 GPD
Number of bedrooms: - Number of Occupants: _max
Basement ❑Yes ,,, No
Pump Required: Aes ❑ No ❑ May be required b on final location and elevations of facilities Z-
'Five of Water Supply: ❑ Community F-1 Public 2 Well Distance from well 106 feet Permit valid for: L�1 Five years
Permit conditions: ^ 9 _ _ ❑ No expiration
Authorized State Date: "7 -2-4 - t=� SEE ATTACHED SITE SKETCH
The issuance of this permit by a flea 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 i ' e 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..
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: / understand the system type specified is different from the type specified on the app /ication. / accept the specifications of 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 ownershin of the cite Thic
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 t: Date: 11 —
Construction Authorization Expiration Date: " I. ® 2.'•0. —1 Q
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: T'�
PROPERTY LOCATION: WJ 6'6
6 e -3 (Z-D
SUBDIVISION
LOT #
Facility Type: mobv
2' New xpansion El Repair
�❑l
Basement? El Yes No Basement Fixtures? El Yes L�f No
Type of Wastewater System ** g 60
(�D A) VC-A) 44 UA-i- �
(Initial) Wastewater Flow: 347 0 GPD
(See note below, if applicable ❑)
grad" A
6W � (Repair)
Installation Requirements /Conditions
Number of trenches 3
�
Septic Tank Size ®D® gallons
Exact length of each trench 100 feet
Trench Spacing: Feet on Center
Pump Tank Size 04D d gallons
Trenches shall be installed on contour at a
Soil Cover. inches
Maximum Trench Depth of: 12-" 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
W inches below pipe
Aggregate Depth: L inches above pipe
Conditions: ll �-8
�— �-a��
® Z- inches total
Ia -S T— 24J a
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: / understand the system type specified is different from the type specified on the app /ication. / accept the specifications of 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 ownershin of the cite Thic
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 t: Date: 11 —
Construction Authorization Expiration Date: " I. ® 2.'•0. —1 Q
HTE# 6L —S - -3f f �6 Permit # 62 7 0`
Harnett County epartment of Public Health
Site Sketch
1
ylti..� �j tT>J� •,<t ,�
_Y /�6 �.)6T" l-�-UAl
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: 130 -r-L
Address: Date Evaluated: ZZ-73
Proposed Facility: 11-6_71� Design Flow (.1949):2`ia
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger 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
3
i
per..
E3 �
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):j7j
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
Site LTAR
v 3
3