IPACHTE#Harnett County Department of Public Health 28094
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
'' PROPERTY LOCATION: c�2_ t -1-7 L(
ISSUED TO: 5 C &CQ ' SUBDIVISION LOT #
NEW L'/REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �5
Proposed Wastewater System Type: Z5"lo i7.Z-Q��
Projected Daily Flow: (oma® GPD
Number of bedrooms: � Number of Occupants: / U max
Basement [--]YesC0
Pump Required: ❑Yes ❑ No LJ' Ma a required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
❑'Five years
❑ No expiration
Authorized State Ag :: Date: Zo -`Y SEE ATTACHED SITE SKETCH
The issuance of this permit bytheAealth Department in no wayuarantees 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 revocatioti4ee 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: ?;�'4 S PROPERTY LOCATION: C_. 1 'l `2 Y S r-4 t
SUBDIVISION LOT #
Facility Type: 2 New ❑lExpansion ❑ Repair
Basement? 1:1Yes No Basement Fixtures? ElYes 2 No
Type of Wastewater System— Z5% /�I.) (Initial) Wastewater Flow: & Q:D GPD
(See note below, if applicable ❑)-?
X25 �o� 11z��Zr11-� (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 15�� ° gallons Exact length of each trench 160 feet Trench Spacing: _� Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over:_ inches
Maximum Trench Depth of: ZZ -) /A 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 inches below pipe
Conditions:
Aggregate Depth: 2 inches above pipe
IL inches total
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.
**If applicable: l understand the system type specified is different from the type specified on the applicatiom l accept the specipcations 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 Jtt Al IAl,11tV Mit MILH
Authorized State q n - Z Date: rf Zv 6 �J
Construction Authorization Expiration Date: 7� ;_�
HTE # I q— 5 -3,j i 13 Permit # 2 gy y
Harnett County Department of Riblic Health
Site Sketch
PROPERTY LOCATON: _ I7 `7 L/ IVIS
ISSUED TO: S �"^' SUBDIVISION LOT #
Authorized Statent: Z �c Date:
e Kn, s7-
-sTv►3 �1 t
�. � � _.. , i• 1,. rr ,.:
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 Evaluatedq- J 6--ly
Proposed Facility: i�"�" Design Flow (.1949): 6¢.C,16
Location of Site: Property Recorded:
Water Supply:ublic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: LI- Sewage ❑ 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
Horiz
I
P
s- Ya
Cl
I �VS0
&n. nrt-�
310
5 ..
/�
a2
-3
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948):
Available Space(. 1945) Evaluated. By:
System T e(s) Others Present:
Site LTAR