IPACHarnett County Department of Public Health 28085
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIOk /% F3
ISSUED TO: /� ,//f f -clod SUBDIVISION Z%, LOT #
NEW 12- REPAIR ❑ EXPANSION ❑ Site I (rovements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 25% kGT) 0 U� G�
Projected Daily Flow: 3(2—.6 GPD
Number of bedrooms: - Number of Occupants: % max
Basement ❑Yes L'1 No %
Pump Required: ❑Yes ❑ No Z Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community IJ Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
E Five years
❑ No expiration
Authorized State Ag t.: C Date: /U — Z'8 — / !I SEE ATTACHED SITE SKETCH
The issuance of this permit a Health Department in no w4 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 revocatio ' 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 Permid
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: %�� �� /� ICI PROPERTY LOCATIONJ< -17F3
_� SUBDIVISION or�r a.�' cf,l , LOT #
Facility Type: �F� L� New XNo xpansion Repair
Basement? El Yes No Basement Fixtures? El Yes
Type of Wastewater System — ZS'`lD /2�(s?Wc�,,_ �,5 � �— (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements /Conditions Number of trenches_
Septic Tank Size DO 4 gallons Exact length of each trench /U feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z� inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: � 7 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 2— inches above pipe
/2— 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: I understand the system type specired is different from the type specified on the app lication. 1 accept the rpecipcationf 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 t: Date: `3 — y q
Construction Authorization Expiration Date: rc) - 7 9, - r�
NTE# /y--S — 3 u 7 l Permit # ZBU
Harnett County Department of Public Health
Site Sketch
ISSUED T0: �l 7 l�
Authorized State
Z
s
PROPERTY LOCATON-2-- /72.3.
— SUBDIVISION LOT #
c, Date: /a -28 —11P
Arr�
32t-t�j ��e X
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:
Address: Date Evaluated: 1�
Proposed Facility: SP2�O Design Flow (.1949):
Location of Site: 1) Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:[} huger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: ' r,0'4—
❑ 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
`3Z.
143w �0
Z6,ZS A3
'°i"..
3L LLrii --
� Gytt._RP
l fit. -S rl_(
{.'�
e-
l-�5.�
S?,,
3
Description
Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: }
Others Present: J"
Available Space(. 1 945)
System Type(s)
Site LTAR