IPACHTE# /S—S _ 3-7ZI Harnett County Department of Public Health 28586
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
;� PROPERTY LOCATION:a/CJH`(S A37G%N�5 RA
ISSUESUBDIVISION ArAZO S Vrd[a-r, ra>*.7" LOT #
NEW REPAIR ❑ EKPANSION ❑ —T— Site Improvements requirg prior to Construction Authorization Issuance:
Type of Structure: _yr_)**,3
Proposed Wastewater System Type: 25% (ZC-0vtA' —
Projected Daily Flow: W'%6 GPD
Number of bedrooms:— �� Number of Occupants: o max
Basement []YesL�I'No
Pump Required: []Yet
Type of Water Supply:
Permit conditions:
❑ No ❑'Nay be required based on final location and elevations of facilities
❑ Community [:?- Public ❑ Well Distance from well feet
Permit valid for.
Er -rive years
❑ No expiration
Authorized State Al���/�/.a . ,� �� Date: /J— ` - i 5� SEE ATTACHED SITE SKETCH
The issuance of this permit by a ahh 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 revoam d t e 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 lor Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The mnstrumon and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be insulted in accordance
with the attached system layout
Facility Type:
[?'New
PROPERTY LOCATION:diP�/yk'3;? �7fCJi�SQ,/>
SUBDIVISION /T-iTilsy5 e0V r r— LOT #
❑ Expansion ❑ Repair
Basement? ❑ Yes D�No Basement Fixtures? ❑ Yes 21 No
Type of Wastewater System"* ZTV& (Initial) Wastewater Flow: c/r°ia GPD
(See note below, if applicable ❑)
u (Repair)
Installation Requirements/Conditions Number of tr ches 3
Septic Tank Size Z Dd O gallons Exact length of each trench f oy 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. 22 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. TON vs. GPM inches below pipe
Aggregate Depth: Z— inches above pipe
Conditions: /Z-- 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 it different from the type specified on the app/itadon. / accept the rpedAcadvar of thin pemtit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transhrred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of �(hhee,Laws and Rules for Sewage Treatment and Disposal and m the conditions of this permit att AI IALntU At aRtl%.
/�I n
Authorized State A eg_rtF Date: //-4, fir 1"
�/ Construction Authorization Expiration Date: /t— 16 —Ld
HTE# /S — 31Ze I Permit # Z 4c,S'$Ce.
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized
PROPERTY LOCATON'3> /4Y8 MTiTerWs /lZ
SUBDIVISION Nr7ei43 ✓ "a ia..,A-r- LOT # l
tti%
Date: / 1' G % S
Na"�`
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:
Design Flow (.1949):
Location of Site:
Property Recorded:
Water Supply:
❑ Public❑ Individual ❑ Well
Evaluation Method: El Auger Boring ❑ Pit ❑ Cut
Type of Wastewater:
❑ 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.)
SOH, 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
Rae
Horiz
1,29
Y�
-
c -i
st
rt"
3� 4�Ic
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): 1-15
Available Space(. 1945 Evaluated By:
System Type(s) 71 LOthers Present:
Site LTAR