IPACHTE# /s - -35 70? Harnett County Department of Public Health 28356
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
r)C— PROPERTY LOCATIWN /J f WRrZl�
ISSUED TO: D vA-' orte % 1 SUBDIVISION --57,C-7'-30 LOT # 2 -
NEW
NEW 2- REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily flow: -') fes % GPD
Number of bedrooms: 3 Number of Occupants: 62 max
Basement ❑Yeses9 No
Pump Required: I Yes ❑ No ❑ Ma 'be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I �1 Public ❑ Well Distance from well feet Permit valid for: (Five years
Permit conditions: ❑ No expiration
Authorized State Age ti: kLP-�" Date: `l- / V -/ 5 SEE ATTACHED SITE SKETCH
The issuance of this permit by tte 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 if tie 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..
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.
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the specifications 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 change 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 Ago- - / �i r t Date:
j , Construction Authorization Expiration Date:
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: L "X4�2
NC PROPERTY LOCATION: Z'71y00,
e JS CldrmZly SZ%
SUBDIVISION 7SrK- -13 - 3 LOT # z -
Facility Type:
New ❑0 Expansion ❑ Repair
Basement? E] Yes C" No Basement Fixtures? El Yes Z No
Type of Wastewater System** �tu,,ti�_ 4
Zia/tZ 7V f�Ztf � `�s f3 y ._
(Initial) Wastewater Flow: f5b0 GPD
(See note below, if applicable ❑)
N--"� f�`-Lo (Repair)
Installation Requirements/Condition
Number of trenches ��
Septic Tank Size I Q 0-0 gallons
Exact length of each trench lb a feet
Trench Spacing: feet on Center
Pump Tank Size ao 0 gallons
Trenches shall be installed on contour 0-11,1
Soil Cover: inches
Maximum Trench Depth of r� -2-Z-- Ly 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
inches below pipe
/ �(
Aggregate Depth: L inches above pipe
Conditions:
ti
/2 inches total
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.
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the specifications 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 change 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 Ago- - / �i r t Date:
j , Construction Authorization Expiration Date:
HTE# IS - _3S-7pg
Harnett County Department
Site Sketch
Permit # Z S3 �9-�
PROPERTY LOCATONart./L/q8 tW
ISSUED TO: �oY � SUBDIVISION -5i � 7ScS1r-ZA LOT # 2 -
Authorized
Authorized State Ag t: Date:
`-f-- / e —/ 5--
I VI, &,p A'
'_
IVI,b'DN-*I" tip......_
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:
Address: .� Date Evaluated: y -
Proposed Facility: Design Flow (.1949): 2
Location of Site: Property Recorded:
Water Supply:Public❑ Individual ❑ Well
Evaluation Method: [Auger Boring ❑ Pit ❑ 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
ui u14
Li 6
SG CL
6C.S,to
3 �
4-)B
sc
lP' yo
cd
L -
s ,
Lek
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948):: J
Available S ac9_(. 1945) i Evaluated By:�
System Type(s) Others Present:
Site LTAR