IPACHTE #. % -=��r �3 Harnett County Department of Public Health 28089
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION=' /6/37 T Vii- N
ISSUED T0:-% / _J a � SUBDIVISION LOT # , y
NEW 17''- REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: e ---T_l
(Repair)
Proposed Wastewater System Type:
- 4''r.Jr-/ 1 >>-
Projected Daily Flow:. �. z
GPD
Number of bedrooms:
Number of Occupants: max
Basement ❑Yes No
Maximum Trench Depth of- Z q -)i' ' inches
Pump Required: ❑Yes 11 No
�/
L� M Ge required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
Public ❑ Well Distance from well feet
Permit conditions:
GPM
Permit valid for:
L7 F ve years
❑ No expiration
Authorized State Agent, , %'' ?,J %ln Date: /i-`7 /V SEE ATTACHED SITE SKETCH
The issuance of this permit,bi thee, Health 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 revocation416he 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, .1957, .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: /q-3
SUBDIVISION LOT # Z
Facility Type: Z New ❑ ,Expansion ❑ Repair
Basement? ❑ Yes C'f No Basement Fixtures? ❑ Yes ETINo
Type of Wastewater System" ? 5'% r)�) 'A < , (Initial) Wastewater Flow: 366 GPD
(See note below, if applicable ❑)
✓
(Repair)
Installation Requirements /Conditions
Number of trenches
Septic Tank Size /660 � gallons
Exact length of each trench 80 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of- Z q -)i' ' 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: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
<- inches below pipe
Z inches above pipe
/2- inches total
* *If applicable: l understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site elan. 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 Agen'- - _16`__ Date: —
Construction Authorization Expiration Date: , t --I —1 `�
HTE# 14- 5---3L(793
Permit # —280 a �
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON• '/,32
ISSUED TO:
SUBDIVISION f7— LOT
Authorized State AgentL�/--�i 2!� Date:
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: 6MO
Address: Date uated: `I
Proposed Facility: Design Flow (.1949): 3626
Location of Site: V Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method: F1 ger Boring ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ 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
Hodz
3
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Sc -ctr
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Al
Description
Initial
S stem
Repair System
Other Factors ( 1946):
Site Classification (.1948):
Evaluated. By:
Others Present:
Available Space(. 1945)
System T e(s)
z Cc
Site LTAR
3
31-,