IPACHTE# I S S —36$83 Harnett County Department of Public Health 28591
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
<<� ' PROPERTY LOCATIONQoifi/7/Z-474 ry 1W
ISSUED TO �*�iz�9/rt G�:DY —+� �w��a+i+ SUBDIVISION LOT # L—
NEW I REPAIR ❑ EXPANSION ❑
Type of Structure:
Proposed Wastewater System Type: 25%7ZAPW 44-1 r7)
Projected Daily flow. '3 L-0 GPD
Number of bedrooms: Number of Occupants: 4 ax
Basement []Yes Lff o
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No M�a a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I.a Public ❑ Well Distance from well feet Permit valid for. L7 Fne years
Permit conditions: ❑ No expiration
Authorized Stat / Date: //� j0 �/ 5' SEE ATTACHED SITE SKETCH
The issuance of this permit h the to Department in no way guarantees the issuance of other permm. The permit holder 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 pmvisiom of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The instruction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .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�iCN.a>afc✓[a Ay,-..� I&OAA-15 PROPERTY LOCATION: aC=1 e67e /&D
SUBDIVISION LOT #
Facility Type: c:3t'A, a New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 1340
Type of Wastewater System"ZSIn (u t�V(SZC� des h_.
(See note below, if applicable ❑) ��.
Zs'/ icy%UGi A?,— (Repair)
Installation Requirements/Conditions Number of tr tches Z n
Septic Tank Size _1/00 0 gallonsExact length of each trench /5-0 feet Trench Spacing: [ Feet on Center
Trenches shall be installed on contour at a
Pump Tank Size gallons Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
(Initial) Wastewater Flow: Foo GPD
Pump Requirements: ft TDH vs.
Conditions:
Maximum Trench Depth of. I y inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
G inches below pipe
Z inches above pipe
/L inches total
**If applicable: / undersand the system type specified is different from the type specified on the app/iratiom / accept the rperifcationJ o/ thin 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 4 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
and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Age ` Date: /!— Zo —/s'
Construction Authorization Expiration Date: 11-7-0-19
HTE# /S-5 = 3&993 Permit # 295'9/
Harnett ('ounty Department of lNiblie Health
Site Sketch
PROPERTY LOCATON:3C/7/9
ISSUED T0: SUBDIVISION LOT #
Authorized State A Date: //— 7X i5'
0,
�6
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: Q-yDats�.7
Address: — M �� dd Date Evaluated:
Proposed Facility: 5r+ ' D Design Flow (A949)I%0
Location of Site: � Property Recorded:
Water Supply: �2 rublic❑ Individual E] Well
Evaluation Method:[]ager Bonn ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ 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 IN.
.1956
Sapro
Class
.1944
Restr
Horiz
I,Z
L7
G -/o
5L -L0
Io-YZxz-c
�bstcs I
90��2' 3• I
v,
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): 1�
Available Space( 1945) Evaluated By: !i1
System Type(s) Others Present:
Site LTAR