IPACHTE# /q -s -3qs � / Harnett County Department of Public Health 28071
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: V6 Z e cl /
ISSUED TO: , L /t,� zhA,-', Tk1G SUBDIVISION /-k)54ZU 5 LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: .S F ►-b
Proposed Wastewater System Type: ZS%
Projected Daily Flow: GPD
Number of bedrooms: �3 Number of Occupants: _max
Basement ❑Yes 2" No � Z
Pump Required: ❑Yes ❑ No L�J"�Maae required based on final location and elevations of facilities
Type of Water Supply: El Community L!f Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
9-five years
❑ No expiration
Authorized State Aged- L— . y — Date: 7�— / 7-- f "`1 SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in no ay guarantees the issuance f 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: �Dn �'t � �C. PROPERTY LOCATION: 6r / 9/0 9 4D+K'LU) &,A b U.S.)C -�
SUBDIVISION A .57-" /G�5 LOT #
Facility Type: �SF I� New expansion F-1 Repair
Basement? El Yes No Basement Fixtures? El Yes L'f No
Type of Wastewater System — ZS-�� TL�U L,(T � (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) ,�
2�/ tZ�-u C e�t.5� 1�Repai
Installation Requirements /Conditions Number of trenches 3
Septic Tank Size iZ gallons Exact length of each trench r`30 feet Trench Spacing: �_ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ,a inches
Maximum Trench Depth of: z6t 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 _(�a inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: %/b �' A )'' � _ A'PS1�5 -$n— 12— inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 specilcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan, olat 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 Sewage T eatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agen : Date:
Construction Authorization Expiration Date: /f / y
H T E # y3-6 / Permit # Z 9 D 7 /
Harnett County Department of Public Health
Site Sketch
/
� g PROPERTY LOCATON:,:�0,*' �4d�ly�/�cJC
ISSUED T0: y1rd/i��G SUBDIVISION �ris — LOT #
zj Z
Authorized State Agent: c Date: j `�' /y
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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: Q1_4__ Date Evaluated:
Proposed Facility: Design Flow (.1949):3
Location of Site: Property Recorded:
Water Supply: Q Public❑ Individual ❑ Well
Evaluation Method:❑--�Cuger Bor'ng ❑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
#
SOIL MORPHOLOGY
.1940 .1941
Landscape Horizon
Position/ Depth .1941 .1941
Slope % (In.) Structure/ Consistence
Texture Mineralogy
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1942
Soil
Wetness'
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
l
kL
s.
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948)
Available Space (.1945) Evaluated By
System Type(s) 7 Y Z Others Present:
Site LTAR