IPACHTE# - . $ 7/ Harnett County Department of Public Health
28058
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
,^ PROPERTY LOCATION / e r :.. /
ISSUED TO: r SUBDIVISION LOT #
NEW 2 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z `7Gr`r
Projected Daily Flow: °(; c GPD
Number of bedrooms: w Number of Occupants: Cil max
Basement ❑Yes RrNo
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: El Community Public El Well Distance from well feet
Permit conditions:
Permit valid for: ®`F ve years
❑ No expiration
Authorized State "". // h i Date: 8— 9— I ci SEE ATTACHED SITE SKETCH
The issuance of this permit by t alth 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 t 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 T0: PROPERTY LOCATION: f y6 ql �'?I
SUBDIVISION &sA%nJ LOT #
Facility Type: E3"'—New ❑l Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes D No
Type of Wastewater System ** C 5; "4 Z� 0, L —U, (Initial) Wastewater Flow: () _ GPD
(See note below, if applicable ❑)
Lt °2 v (Repair)
Installation Requirements /Conditions Number of trenches 5'
Septic Tank Size 6 C) 0 gallons Exact length of each trench & 0, feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
o
Maximum Trench Depth of: 7C 21 c� MCA
eS (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
Conditions:
inches below pipe
Aggregate Depth: Z inches above pipe
/Z 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 from the type specified on the app lication. / 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 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 SEE ATTACHED SITE SKETCH
/__
Authorized State Age - - - t /�r.ff� -�? % Date: 8 —� —/
Construction Authorization Expiration Date:
HTE # / 2 7 1
Permit # 2 )
Harnett County Department of niblic Health
Site Sketch
PROPERTY LOCATON
ISSUED TO: SUBDIVISION LOT # 16
Authorized State Age Zk Date:
*- 7L),i,) 4. T'etDc-l- 1 -,-Jf- � /� 3 PC X/ L
U
a
. .........
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIL /SITE EVALUATION Code:
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant: '
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): `} Property Size:
Location of Site: Property Recorded:
Water Supply: _ ® Public[] Individual ❑ Well F1 Spring El Other
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: [3--S6-wage ❑ Industrial Process ❑ Mixed
P
R
O
F
SOIL MORPHOLOGY
OTHER
I
.1940
.1941
PROFILE FACTORS
L
Landscape
Horizon
.1942
E
#
Position/
Slope %
Depth
(In.)
.1941
Structure/
.1941
Consistence
Soil
Wetness/
.1943
Soil
.1956
Sapro
.1944
Restr
Profile
Class
Texture
Mineralogy
Color
Depth (IN.)
Class
Horiz
& LTAR
G
vas
Description
Initial
System /
Repair Stem
Other Factors (.1946):
Site Classification (.1948): j
Evaluated By:L,�—
Others Present:
Available Space(. 1945)
System Type(s)
7 ,
'-
Site LTAR