IPACHTE# -s- �� -7 Harnett County Department of Public Health 28096
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
r
PROPERTY LOCATION: 5-3 LOT # _
ISSUED TO: '-�� 041 SUBDIVISION
NEW RE AIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: rwk'WF',*> I-l—s S
Proposed Wastewater System Type: '275 12.E
Projected Daily Flow: 2 LJ GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes io
Pump Required: ❑Yes ❑ NoMae required based on final location and elevations of facilities
ars
Type of Water Supply: El Community l� Public El Well Distance from well feet Permit valid for: ❑ Noeexpiration
Permit conditions:
Authorized State nt::
Date: /� % — / SSEE ATTACHED SITE SKETCH
The issuance of this permit by�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. is
site is subject to revocation i 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 Per mitl
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 T0: ,1 C— �'� �'—1 PROPERTY LOCATION: 53
SUBDIVISION LOT #
Facility Type:
ym 15V / New ❑ pansion El Repair
Basement? El Yes No Basement Fixtures? El Yes ° Initial Wastewater Flow: Zye) GPD
Type of Wastewater System** 2�/a �Zwc,) (Initial)
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of ac
trenchesfeetTrench S in '7 Feet on Center
Septic Tank Size /000 O0 gallons Exact length of each trench —2LP g
Pump Tank Size gallons Trenches shall be installed on contour ata Soil Cover: — ('� inches
Maximum Trench Depth of: ?K N��->� inches (Maximum sotl cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
--� inches below pipe
Pump Requirements: ft. TDH vs. GPM Aggregate Depth: inches above pipe
12— inches total
Conditions:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
.�^ I.Tn rTrrr wt t nUirn IkI IAIITIAI ne DOM nRAiw FIFI n ARFA_
PW UIILIIIC) HLLUVVLU nV Inrr1ML Ur. I.— "• ""— " —
**If applicable: l understand the system type specilled is different from the type specired on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
in
wnership of
site. This
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 Chang CFFn ATTACHED eSITE SKETCH
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Ireatment ano uisposai arw iu u r 1— -- r
S A � . < Date:5--
Authorized State A
/ Construction Authorization Expiration Date:
HTE# fvC - 5'-3 V Permit # 2 bo�_K
Harnett County Department of 1�-tblic Health
Site sketch
PROPERTY LOCATON: S
ISSUED TO: J e,4 /A.C_ _ �'�� SUBDIVISION LOT # _
Authorized State
Date: /_/3 —/ 5"
y U11.56� fxi5 i c� f•J�� �s
TF/f,)e-fps
--A,tet' I ,� t ' a - 2epe'-D
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWAAF YSTEM
Owner: Applicant:
r4
Address:
Address: � Date Evaluated: 'Dj
Proposed Facility: " 4 (�J Design Flow (1949):
Location of Site: Property Recorded:
Water Supply: Pub
El -Auger
Individual ❑ Well
Evaluation Method: uger 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
Z
o -is
sL
b— 2 "
L
6,v A)VV
ZN—y
SGL,
5.P
-7'5y,—
�C>
yU
1 573 s .�
Yyd� % d'z•�
L
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space(. 1945)Evaluated By:
System T e(s) 2�- a Others Present:
Site LTAR