IPACHTE# 1 ���-3to gay Harnett County Department of Public Health 28391
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
//�� PROPERTY LOCATION: -s,,,] q 9 3
/d� 2!J
ISSUED TO: " SUBDIVISION LOT # _
NEW E2" REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:+"
Projected Daily Flow: '3 16--C-� GPD
Number of bedrooms:�— Number of Occupants: max
Basement ❑Yes LST No �"I"
Pump Required: ❑Yes❑ No LJ�Ma0e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L�1" Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
E;� Five years
❑ No expiration
Authorized State A nt:: Date: 6-9-15— SEE ATTACHED SITE SKETCH
The issuance of this permit by Health Department in no way grantees 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 i thee 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: "A/55J f PROPERTY LOCATION:O-X L4H3 (Id 21�
SUBDIVISION LOT # /
Facility Type: ew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes EJ -96"
Type of Wastewater System** 2 5 %, rz�T -Y,� :5;� -- f -r'3 G c� GPD
(See nate below, if applicable F-1)
Z� O—JkD-tJ--t t � fi— (Repair)
Installation Requirements/Conditions Number of trenches �^
Septic Tank Size � gallons Exact length of each trench (0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Soil Cover: (:4 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: Z inches above pipe
f inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. 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 app/ication. / accept the spedf1nvions of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site clan. plat or the intended use chances. The Construction Authorization shall not he transferred when there is a rhanoe in ownerghin of the city 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 ILL Al IACHLU III JKLICH
Authorized State ent: Date: 6 — � / .5—
Construction Authorization Expiration Date: G2 — i — Z-<)
NTE# LS—" _ ��' 2 `'� Permit # Z & 3
Harnett County Department ent of Pablic Health
Site Sketch
MCI
Authorized State
PROPERTY LOCATON: VIU G -�� _ Z4
SUBDIVISION LOT # f
Date: 5� — / -5
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: aa � 9D %
Proposed Facility: s Design Flow (.1949):(y,
Location of Site: Property Recorded:
Water Supply: Ealublic❑ Individual ❑ Well
Evaluation Method: ❑er Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑,86wage ❑ 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
J-
0-
sG
Ire's-
3�
K
Zp- y 2
L
(
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948)•
Available Space(. 1945) Evaluated B :
System Type(s) Others Present:
Site LTAR 3
N