IPACHTEs -3/3z Harnett County Department of Public Health 28223
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:'v 157 p�� 71Z_,0
ISSUED T0:eco v�– �STw�Ah6-4S a–�_)UBDIVISION LOT #
NEW REPAIR ❑ VPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z5'2z�---
Projected Daily Flow: _� G� GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 5 No
Pump Required: ❑Yes ❑ No 0 Maae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I� Public ❑ Well Distance from well feet Permit valid for: D Five years
Permit conditions: ❑ No expiration
Authorized State A nt:: U Date: Z-13 — / ; SEE ATTACHED SITE SKETCH
The issuance of this permit b e 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. This
site is subject to revocatio if t ite 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 T0:CST��°� PROPERTY LOCATION: a-z—JS6q /Lcr�,rzP� R
_� SUBDIVISION LOT #
Facility Type: 3 �� LJ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes C7 No
Type of Wastewater System** ZS6/b R_94'_ -y (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Z,>� f (Repair)
Installation Requirements/Conditions Number of trenches y
Septic Tank Sizel� 6 Q gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 4- b feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 22--)//9 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: l Feet on Center
Soil Cover: _ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: `Z inches above pipe
/1-- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect 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 ownershio of the site. This
Construction Authorization is subject to compliance with the provisions of the Lames and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized Sta rent—.-/ !,-.f,�z2—Date: 2—/3—/s--
on Authorization Expiration Date: 2--! 3 —Z'7 -
HTE# 5' S— 35L/-3-7— Permit # Z `3 Z Z
Harnett County Department of lNiblic Health
Site Sketch
PROPERTY LO(ATON:�.15 4tj 2p
ISSUED TO: s5 Fj!',' &),) SUBDIVISION LOT #
Authorized State A t: Date: —1-5 —,(5
it 4
bol), t,L�
FA
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: S r Pr'/210K
Address: Date Evaluated: x/Ia &Pt
Proposed Facility: - Design Flow (.1949):
Location of Site: Property Recorded:
�,
Water Supply: � rublic❑ Individual ❑ Well
Evaluation Method: Auger Borm ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
It 5.qtt
►%
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Pa>
Available Space(. 1945) Evaluated Bye /
System T e(s) 27 Z Y"� Others Present`s Y
Site LTAR - E�