IPACHTE#� S'—�y�'�s1 Harnett County Department of Public Health 28204
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION4���� �
ISSUED TO: SUBDIVISION LOT #
NEW REP ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 15rb
Proposed Wastewater System Type: 25% JZR,00(.-t7c
Projected Daily Flow: _3(-0 GPD
Number of bedrooms: 3 Number of Occupants: _max
Basement ❑Yes 210 /
Pump Required: []Yes ❑ No O-Mavoe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Lil Public ❑ Well Distance from well feet Permit valid for: L�f Five years
Permit conditions: ❑ No expiration
Authorized State AgDate: 4 SEE ATTACHED SITE SKETCH
The issuance of this permit ealth 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 system layout.
ISSUED TO: % S'/?r//�f/5 PROPERTY LOCATION: � y�� ,/�
,46
SUBDIVISION LOT #
Facility Type: Q NewExpansion ❑ Repair
Basement? F-1YesNo Basement Fixtures? E:1Yes ANo
Type of Wastewater System** 5g�, ��'y,S � _ (Initial) Wastewater Flow: 3 4 P GPD
(See note below, if applicable ❑)
C;5_816J�i'DIV 7? (Repair)
Installation Requirements/Conditions Number of trenches 3—
Septic Tank Size /D® ®® gallons Exact length of each trench �/ZJ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ZY 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 (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
–!�f inches below pipe
2— inches above pipe
Z Z inches total
**If applicable: / understand the system type specified is different from the type specifled on the application. / accept the specircations 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
t.onstruction 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 Ag Date: 12– /( ^ %
Construction Authorization Expiration Date: / — —
HTE# /4%5- — 3yS7 Permit # Z8,Z 0
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATO . /5l ,Aa
ISSUED TO: ! / /LtllewSSUBDIVISION LOT #
Authorized State Ag Date:-/( ,/V
v
PAATIp- Zt>
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:' r'� --
Address: Date Evaluated:
Proposed Facility: Design Flow(. 1949): 34L,6
Location of Site: Property Recorded:
Water Supply: ❑Tublic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: EJ -Sewage ❑ Industrial Process
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
o51,
.zx_Pse
Z 3
L
o-Z`f
5L
Ls -0
o•�—
LS
4, (0kt r
' S•4^
1
3 ;32.
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): 76
Available Space( 1945) Evaluated By:
System Type(s) t5 A Others Present: V
Site LTAR - 1- i