IPACHTE#_/S — S —�/,�� Harnett County Department of Public Health 28465
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: /5 O Fe
ISSUED TO/C!!`G �UiZ!! SUBDIVISION LOT #
NEW Q' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: —D c.J /k-
Proposed Wastewater System Type: �—L7
Projected Daily Flow: 3(,,-, ® GPD
Number of bedrooms: 3 Number of Occupants: _max
Basement ❑Yes
Pump Required: ❑Yes ❑ No Cl'Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LSI Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for: Z Five years
❑ No expiration
Authorized State nt: �ejs Date: % ��O `7� SEE ATTACHED SITE SKETCH
The issuance of this permit by Health Department intoway guarantpermits. Thepermit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation i the site plan, plat, or the intended use chaermit 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 Permjt)
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:PROPERTY LOCATION:
�- ❑ El
LOT # 3
Facility Type: L 2 New , Expansion Repair
Basement? El Yes C�'Basement Fixtures? ❑ Yes 2 -Mo
Type of Wastewater System** _,7510d 12;�61J CiZZW -�z,5/7=4-t_ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
ZSM 94: k ld7XU (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size DOD gallons Exact length of each trench /csz, feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Z�/ i/�' 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)
inches below pipe
Aggregate Depth: .Z inches above pipe
1Z inches total
WATER LINES (INCLUDING 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 specifled 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 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 Ant: _ Date: '7--/0
Construction Authorization Expiration Date: —7-16 ' z,O
HTE# S ® to Permit # 2�L%Co
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:-
ISSUED T0:
SUBDIVISION LOT #_
Authorized State A �_ Date:
'7 --to —(5_r
r-�
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: -7
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply:,❑ Public❑ Individual ❑ Well
Evaluation Method: []-A--ug Boring ❑ Pit El Cut
Type of Wastewater: P -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
Description Initial Repair System Other Factors (1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated B
System Type(s) Others Present:
Site LTAR r
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
.1942
Soil .1943 .1956 .1944 Profile
Wetness/ Soil Sapro Restr Class
Color Depth (IN.) Class Horiz & LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
/41
2'
�?sL
a—ip
'SL
L-_
w
/o^
Lto
$c-< e
�$7-4
4-.
3
Description Initial Repair System Other Factors (1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated B
System Type(s) Others Present:
Site LTAR r