IPACHTE# %y -S ---3S-2 c15— Harnett County Department of Public Health 28217
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:, r SSS`
ISSUED TO: SUBDIVISION LOT #
NEW Z_ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 2) L. -)K -\-q
Proposed Wastewater System Type: Z's '4> o. )
Projected Daily Flow: Qxf GPD
Number of bedrooms: —� Number of Occupants: Amax
Basement []Yes LJ No
Pump Required: ❑Yes ❑ No LSF Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community e Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
Id" Five years
❑ No expiration
Authorized State <:�,i;'%tn1 t,1_,V4- ~ Date: 2- - 2 - 1 SEE ATTACHED SITE SKETCH
The issuance of this permit b e ealth Department in no way guaran ees the issuance of ther permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation I a site plan, pla( 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:C`+9�W PROPERTY LOCATION:
SUBDIVISION r LOT #
Facility Type: A n'�-f-i 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes E31 o
Type of Wastewater System** ZS OX) 12F- Q LrIb-)) SL,��r�, , (Initial) Wastewater Flow: -00 GPD
(See note below, if applicable
t) w t;7 'zS'�, Z (Repair)
Installation Requirements/Conditions— Number of trenches 3
Septic Tank Size 0O 6 gallons Exact length of each trenchy0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. 20-19 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
Aggregate Depth:
Conditions:
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.
P inches below pipe
2- inches above pipe
/ Z inches total
**If applicable: /understand the system type speci>ied is different from the type specified on the application. /accept the specifications 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
Authorized State
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Construction
Date: Z-2 "/',"-
Expiration Date:y 2-'°x2)
NTE# /'/- S- 352,dS-
Permit # Z S Z/ %
Harnett 1unty Department of Pu1'Health
Site Sketch
%� PROPERTY LOCATO
ISSUED TO: fbZd-� 6Z)/ _ SUBDIVISION
sS
Authorized State Age /%�� Date: 2 2
LOT #
-e-- Iq L�AJ
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: C L,4L-d-- )-,u
Address: Date Evaluated:
Proposed Facility: /wv73 Design Flow (.1949): 3 ��
Location of Site: Property Recorded:
Water Supply: 0 Public❑ Individual ❑ Well
Evaluation Method: El Auger Boring ElPit ❑Cut
Type of Wastewater: ['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
ILI —3
Sc, C,►
lZ�
Description Initial Repair System Other Factors (.1946): .P 5
System / Site Classification (.1948):
Available Space (.1945) Evaluated By: 0/ l,v
System Type(s) Others Present: lj
Site LTAR