IPACHTE# /S-5 =37yZy Harnett County Department of Public Health 28600
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:3a-/B47— 6A-r1e 44
ISSUED TO: Zrtk— SUBDIVISION LOT # Z_
NEW 2 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 2w --e>
Proposed Wastewater System Type: Z45W*?Pi�UL5LEL1
Projected Daily Flow: '34e—Z) GPD
Number of bedrooms: Number of Occupants: at
Basement []Yes Ifflics
Pump Required: ❑Yes ❑ No be required based on final location and elevations of facilities
Type of Water Supply: El Community Ma Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for,
Z Five years
❑ No expiration
Authorized State Age: G Date: tL— 7,—( S SEE ATTACHED SITE SKETCH
The issuance of this permit bye fl cutch 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 revocation i sire pian, 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 art incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: ir.)i4a24t j4n,� AM4L __ X PROPERTY LOCATION:dLlW2 LMl6
" SUBDIVISION LOT # z
Facility Type: S Q New Expansion ❑ Repair
Basement? ❑ Yes Rf No Basement Fixtures.? �❑, _Yels LTJ No
Type of Wastewater System** 71;Vo A/w r C ey �s 4,'-Z22 (Initial) Wastewater Flow: �o GPD
(See note below, if applicable ❑) OF✓
7
258/et?�%:VC.tZ4al�rsfe2�-�fy^� epair)
Installation Requirements/Conditions Number o trenches y V,
Septic Tank Size 4Q22— gallons Exact length of each trench $O feet
Pump Tank Size /oa0 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of /6 „ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h TDH vs. GPM
Conditions:
Trench Spacing: / Feet on Center
Soil Cover: riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: z inches above pipe
Ic— �Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANOART OF SEPTIC OSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable, l ondeatavld the s}rtem type specified it different from the type speciffed on the application. / adept the spenibcations of this pemAit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authoritadon 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
and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State t: L N Date: I Z — Z — / I --
Construction Authorization Expiration Date: / i — 'L— Zy
HTE# `IZ
Permit # 2-s&c4cs
Harnett County Department of 1"ublic Health
Site slietch
PROPERTY LOCATONSr_/SlJZ Cn-.J` ;Z-'�
ISSUED TO: SUBDIVISION LOT # Z
Authorized State A t: �a,J epi Date: /Z— Z -r 's
2�
U
(Ze
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: '>.�,+�� �.� IYt ^ �✓
Address: Date Evaluated:
Proposed Facility: Design Flow (I
Location of Site: Property Recorded:
Water Supply: FTPut lic❑ Individual ❑ Well
Evaluation Method:❑.4,6ger Boring ❑ Pit ❑ Cut
Type of Wastewater: [ySewage ❑ 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
L
0-12
_
i z- ac
sc ct1HO
s.P
u-
a -lo
Lo -t.-
aDn
t0 -7G
3C -C(
t. V
&
26-2C ;
3
l2 -SL
SSG/
y
L l^
a• t0
1.Dia,
%x-Grc tr n
Description Initial Repair System Other Factors (1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Type(s) &I cr— X' Others Present:
Site LTAR . 7 IR