IPACHTE# ��/ s = 3 ,Y967 Harnett County Department of Public Health 28092
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 0-2-
ISSUED TO: ��� /� d o ISION /� e 45-/ ,P !�J LOT # 3
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 'Z`59ey
Projected Daily Flow: 14 lea GPD
Number of bedrooms: L— Number of Occupants: max
Basement ❑Yes 2.10
Pump Required: []Yes ❑ No �Ma�requiredd base on final location and elevations of facilities
Type of Water Supply: ❑ Community Public 2 Well Distance from well feet Permit valid for: Five ears
Y � y
Permit conditions: ❑ No expiration
Authorized State Aged ` Date: I['/- / !�, - / V SEE ATTACHED SITE SKETCH
The issuance of this permit b 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 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 systemlayout.
ISSUED T0: W LX >,,z�rt PROPERTY LOCATION: L
SUBDIVISION 0x1-1 e. fir_ W LOT # 3
Facility Type: ,.�,j Zr LENew �❑�xpansion ❑ Repair
Basement? ❑ Yes L/1 No Basement Fixtures? ❑ Yes 2J No
Type of Wastewater System ** Z5% ?/Z�� a c, f-� (Initial) Wastewater Flow: c%gy GPD
(See note below, if applicable ❑)
l�uh ,o 4�) Zvi/ 0443VCSZ4-y (Repair)
Installation Requirements /Conditions Number of trenches Z_
Septic Tank Size / Z.f;'6 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
15 Tv d
Exact length of each trench z_acs feet Trench Spacing: / Feet on Center
Trenches shall be installed on contour at a Soil Cover: cP inches
Maximum Trench Depth of. ZK >iY ' '4_'4i fches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -1/4" 36" above the trench bottom)
in all directions)
GPM inches below pipe
A regate Depth: 2 inches above pipe
JD z . _' 0-V j 1440 17, 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 speclled is different from the type speciled on the application. l accept the specifications ofthis 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 nt: Date:
Construction Authorization Expiration Date: Z - �'
HTE# l63�I (� Permit #
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: K J
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): t�
Location of SiteV -,'8 Z Property Recorded:
Water Supply: / [ lublic❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: [.Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
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
a
o _
SL
�rin%�al�
Ko -YZ' 3 -!
3
L
0—
5 C- -66-, ---
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated.By: 67-'L
Others Present:
Available Space (.1945)
System Type(s)
Site LTAR