IPACHTE# l,-5`- _5-- 36 5 (lZ. Harnett County Department of Public Health 28468
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION ef-, / .. .3ci7 " -
ISSUED T0: S-Zx SUBDIVISION6X c3/Z. AD:, LOT
NEW 2" REPAIR 11 EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: 13 Number of Occupants: .max
Basement []Yes No �/'
Pump Required: ❑Yes El No 1Z MaW)be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LJ Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
C2' F ve years
❑ No expiration
Authorized State A Date: 7- rS ! S"- SEE ATTACHED SITE SKETCH
The issuance of this permit bptVealth Department in no way g arante 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 revocati-011144le 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, .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: PROPERTY LOCATION: /.,2 7::2ai/� ,✓c-�
SUBDIVISION l}Xi�fl GcJ Ck') i7 S LOT # 2
Facility Type:— ET New ElExpansion 11Repair
Basement? ElYes Z"'No Basement Fixtures? ❑ Yes Flo
Type of Wastewater System** 3 b ZV4 lq,67�) U u (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
a.-6 /j•UC ,_Z-f%(Repair)
Installation Requirements/Conditions Number of trenches__'
renchesZ
Septic Tank Size gallons Exact length of each trent Ya mac. feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: Z8 ->a 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
Aggregate Depth:
Conditions:
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.
(61 inches below pipe
Z inches above pipe
inches total
**If applicable: / understand the system type speciled is dilferent from the type specified on the application. /accept the speci(cations 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 JCC AIIALlItU Jllt JfttlO
Authorized Sta Date: :2--` r N "4
Construction Authorization Expiration Date: ® ::7 - < 5--- r s `� "
HTE# L� — Permit # 29Y058
Harnett County Department of Public Health
Site Sketch
CC PROPERTY LOCATON�! 1666 6/iJ �Sa /0�
ISSUED TO: _ i SUBDIVISION JOT #
r
Authorized State A Date:
nt: ~% 15�-
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:
Proposed Facility: i Design Flow(. 1949): 3-te4
Location of Site: Property Recorded:
Water Supply: E Public❑ Individual ❑ Well
Evaluation Method: ❑ -)Cg_er 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
1y2 r3
(
v- 26
FL,
p
I-
Description Initial Repair System Other Factors (.1946): m
—System Site Classification (.1948):
Available Space( Evaluated By:
System Type(s) Others Present:
Site LTAR _ iV �Z