IPAC R�-p Harnett County Department of Public Health
28240
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 5§t -/Y/2 G•(�t G,�irr-- (� ��.�` �/GG�
ISSUED TO: SUBDIVISION /2 C,2 0 LOT #
NEW [2-T REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 4v 2
Projected Daily Flow: 3(C -JZ GP
Number of bedrooms: 3
Basement ❑Yes No
Pump Required: es ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Number of Occupants: (,- max
❑ May h required based on final location and elevations of facilities �
❑' Public ❑ Well Distance from well feet Permit valid for. Er ive years
❑ No expiration
Authorized State ent:: ` Date: 6 --1G % �� SEE ATTACHED SITE SKETCH
The issuance of this permit6y t 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 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, .1957, .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.
// ,, c
ISSUED TO: tJco PROPERTY LOCATION:
SUBDIVISION / Z— LOT #
Facility Type: E2"New �❑Expansion Repair
Basement? El Yes No _Basement Fixtures? El Yes E2 lEo
Type of Wastewater System** _/� r�L Z,bU9 i&� (Initial) Wastewater Flow: 36-6 GPD
(See note below, if applicable ❑)
"'Jr)
Installation Requirements/Conditions Number of trenches4e3
Septic Tank Size It) 0 6)— gallons Exact length of each trench _A O feet
Pump Tank Size r o a 0 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z& —>/A 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 (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: l understand the system type specired is different from the type speciped on the application. / accept the specipcations o/ 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 chanee in ownership of the site. This
Construction 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:—G(9 —f
Construction Authorization Expiration Date: 3
HTE # f 'S - S - 3SLf5 572 Permit # 292- q O
Harnett County Department of Public Health
Site e,
� ��
PROPERTYSUBDIVISION ON.����Z�� Z LOT #=.��
ISSUED T0: �,�))
Authorized
M
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: --• ? t -/t-
Address: Date Evaluated:
Proposed Facility: 15rfl Design Flow (.1949): ��— Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual Well ❑ Spring
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: D-'§ewage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F SOIL MORPHOLOGY
I .1940 .1941
L Landscape Horizon
E Position/ Depth .1941 .1941
# Slope % (In.) Structure,' Consistence
Texture Mineralogy
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1942
Soil
Wetness,
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
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5L.
00�V- 9-i4NSJJK'
ZY-38
x�
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ice-•- 1'"W s,
33
36
� L.
Z 3
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L
ate. ">54
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Types)- r fj Others Present:
Site LTAR