IPACHTE #/ S=3-wz-2 Harnett County Department of Public Health 28553
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�aPROPERTY LOCATION: 2sk /i�7 c'�A,eJa-NE.d�r'LtD
ISSUED TO: �+ �. Z'6WCQ* GJ'204ec_ SUBDIVISION LOT #
NEW Ir REPAIR ❑ EXPANSION ❑
Type of Structure: arr'y�
Proposed Wastewater System Type: ZS% iLrjitaLMSICI
Projected Daily Flow: 4 9s0 GPD
Number of bedrooms: --------- Number of Occupants: 8 max
Basement []YesCINo ��
Pump Required: Dyes E] No IS be required based on final location and elevations of facilities
Type of Water Supply: El Community CT Public ❑ Well Distance from well feet
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
Permit valid for. Five years
❑ No expiration
Authorized State Date: C -iii —7.1— r 5" SEE ATTACHED SITE SKETCH
The issuance of this permi the alth 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 rerotatio sin 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 Dupmal and to conditions of this permit.
in all directions)
Pump Requirements: h. TDM vs. GPM inches below pipe
Aggregate Depth: L inches above pipe
Conditions: /2— 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 rynem type specified is different hom the type specified on the app/iration. / arrept the sped6radonc of this permit
Owner/Legal Representative Signature: Date:
This connection Authorization is subject to mentalism if the site plan, plat or the immnded use changes. The construction Authorization shall not he tanshrred 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 in she conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State nt: Date: e, 20 —/ S"
Construction Authorization Expiration Date: S — 21 — 2.6
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958,
.1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: a ��/zcr.�P�
W�sI�_ PROPERTY LOCATION: 1911?l
lA D +o /CD
SUBDIVISION
LOT #
Facility Type:
2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Efflo
Type of Wastewater System*" ZS%r��O
c R tt` �ys���
(Initial) Wastewater Flow: Y96 GPD
(See note below, if applicable ❑)
f
.s,�c/7+-._ (Repair)
— ?K"°'�.2v
l
Installation Requirements/Conditions 1
Number of trenches 3
S
Septic Tank Size / ZOO gallons
Exact length of each trench /Oo feet
Trench Spacing: Feet on tenter
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover. _� inches
Maximum Trench Depth of: zq inches
(Maximum sail cover shall not exceed
(Trench bottoms shall be level to +/-I/4"
36" above the trench bottom)
in all directions)
Pump Requirements: h. TDM vs. GPM inches below pipe
Aggregate Depth: L inches above pipe
Conditions: /2— 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 rynem type specified is different hom the type specified on the app/iration. / arrept the sped6radonc of this permit
Owner/Legal Representative Signature: Date:
This connection Authorization is subject to mentalism if the site plan, plat or the immnded use changes. The construction Authorization shall not he tanshrred 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 in she conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State nt: Date: e, 20 —/ S"
Construction Authorization Expiration Date: S — 21 — 2.6
NTE# is= '5-- 3 -7o!�-2
Harnett (bounty
Permit #
2,9515-3
Department of Public Health
Site Sketch
PROPERTY LOCATON:;R-J'5oT 4Ao;nC—a-,/1-6
ISSUED TO: c _^I— �c0�� Lsi�t_ SUBDIVISION G LOT #
Authorised State,9nr. Date:
M
WR
5 2 t
4�1
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: ticlb Design Flow (.1949): y�
Location of Site: Property Recorded:
Water Supply: [Public❑ Individual ❑ Well
Evaluation Method: EF`AugerBo ng ❑ Pit ❑ Cut
Type of Wastewater: L -T Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
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 N.
.1956
Sapro
Class
.1944
Rear
Horiz
I,Z
L-
o -Xy
3
G-a~�
o •z6
sL
Gam- p
3 6
yo -it Z�'Z
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space( 1945) Evaluated By:
System Tpe(s) Others Present:
Site LTAR • Y