IPACHarnett County Department of Public Health 2
• 2 0—i
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/, PROPERTY LOCATIO —1'1q'7 C
SG
ISSUED TO: Z r C SUBDIVISION LOT #
NEW 2' REPAIR ❑ EXPANSION ❑ Site 1 provements required prior to Construction Authorization Issuance:
Type of Structure: -:F rb
Proposed Wastewater System Type: S%
Projected Daily Flow: N00 GPD
Number of bedrooms: Number of Occupants: __max
Basement ❑Yes
Pump Required: ❑Yes I No
El May required based on final location and elevations of facilities /
Type of Water Supply: El Community IJP' Public El Well Distance from well feet Permit valid for. C'Five years
Permit conditions: ❑ No expiration
Authorized State A t:: ' Date: / ®/L/ SEE ATTACHED SITE SKETCH
The issuance of this permit b e 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 tX 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: .54e� Z PROPERTY LOCATION: Zft-)4s !J/1
SUBDIVISION ,cl aG" LOT # ZZ
Facility Type: New ❑�pansion El -"Repair
Basement? ElYes No Basement Fixtures? [--]Yes 2 No
Type of Wastewater System** ZS'% f'113 -b+ V C17-0-^,) A (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) '
(Repair)
Installation Requirements/Conditions Number of tr nches 3
Septic Tank Size gallons Exact length of each trench 7th feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 57 Feet on Center
Soil Cover: a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
Z inches above pipe
inches total
**If applicable: I 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 subject to revocation if the site Dian. plat or the intended use channes. The Construction Authorization shall not he transferred when there is a rhanve in nwnershin of the cite This
Construction Authorization is subject to compliance with the
Authorized State
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: Do'
Construction Authorization Expiration Date: , L -C=(
HTE
DepartmentHarnett County
Site Slietch
Permit # Z Z 06
PROPERTY LOCATON/yt/i/<ificI15 G1111.e if-fJ
ISSUED TO: �� '-7 Z L -CL-'` SUBDIVISION �1` LOT # ZL
Authorized State Ag : G_ Date: ''11400"
1�jlko
1145* /W
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: St7AF7- 2 �-L<" --
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):3lL,�b
Location of Site: Property Recorded:
Water Supply: ['Public❑ Individual ❑ Well
Evaluation Method: uger Boring ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I .1940
L Landscape
E 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
1 2
L_3�
&-
XL
% 1,
s
LAI
3L4 114
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated. Bg��
System T e(s) Others Present:
Site LTAR J