IPACHTE# 1-s 3�5` Harnett County Department of Public Health 28503
Improvement Permit
A building permit cannot be issued with only an Improvementermit
PROPERTY LOCATION: Cls D
ISSUED TO: �'' u^5► �— ��p,s� SUBDIVISION k.i1C--r LOT # L�
NEW* REPAIR PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ��f's�`
Proposed Wastewater System Tygy *<` aN
Projected Daily Flow: 46 GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes N No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L� Public ❑ Well Distance from well O 0 feet Permit valid for: Five years
Permit conditions: NZ ❑ No expiration
Authorized State Agent:� •``v`���� Date: i l '-% I 1-5 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance er permits. The permit holdJ 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, .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: ori
SUBDIVISION .,,S—s U- )-s Q)'—L)FYI LOT # c -3Y
Facility Type:/ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basemeen: Fixtures? ❑Yes 'KNo
Type of Wastewater System** Q -S L 6 o IC,6 \ ON `-�'`��� � N� (Initial) Wastewater Flow: L—W GPD
(See note below, if applicable ❑)
� sav U N (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size S,®0 ® gallons Exact length of each trench "F� ® feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour ata Soil Cover: inches
Maximum Trench Depth of. `�.L-'� 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 (INtIUDING IRRIGATION) MUST BE LOFT. 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: !understand the system type specified is different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to retication if the site plan, plat, or the intended use chances. The Construction Authorization shall not he transferred when there is a chanoe in ownershin of rhe site_ Thk
Construction Authorization is 0-1111to complia ith ovi ' of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
Authorized State Agent: qv'—�')Date: I Z'7
on ion Authorization Expiration Date: `Z JQo lao
SEE ATTACHED SITE SKETCH
HTE# Permit # 2LZ5C3
ISSUED TO:
Authorized !
Harnett County Department of niblic Health
Site Sketch
PROPERTY LOCATON: � 0 C/t) Q -D
SUBDIVISION —1 cLo7-sGr2J ?>L-UFr- LOT
Date:
Lp,i o,)- V\ p y C) NVfi' 6t_
M
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: ` Design Flow(. 1949): WO Tj Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Metha uger - Pit ❑ Cut
Type of Wastewater:Sewage CJ industrial Process ❑ 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
}
25
364
ym
�S
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By: 01
System Type(s) a S c Gtr Others Present: —
Site LTAR t