IPACNTE# /5-- -3:7Y-'7V Harnett County Department of Public Health 28657
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
//// � PROPERTY LOCATION:IO/l4/S /C ow/s cayte�I44's
ISSUED TO- C�h�V7r� � SSG SUBDIVISION Wm!!.2re.� f)/~� LOT # 10
NEW ] REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S
Proposed Wastewater System Type: Z'3% GI. kwc 7dZ
Projected Daily Flow: '3 Gmz GPD
Number of bedrooms: 3 Number of Occupants: _max
Ratement nYot ZlNo
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ No Ll M be required based on final location and elevations of facilities
❑ CommunityPublic ❑ Well Distance from well feet
Permit valid for. 113 --five years
❑ No expiration
Authorized State nt — Date: / Z — 8 —/S SEE ATTACHED SITE SKETCH
The issuance of this permit b lealth Department in no way guaranies the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revoarion & 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 for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The ansuuction 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 TO: /in!—' i PROPERTY LOCATION: Ziff /e//S /2R. 11 611r/2CO 17b
�� SUBDIVISION ,�G�/ireE LOT # K.)
Facility Type: �7 13 New ❑ Expansion Repair
Basement? ❑ Yes 210 Basement Fixtures? 11Yes 210
Type of Wastewater System** _Zs"'b Syst'-/6 (Initial) Wastewater Flow: Ne0 GPD
(See note below, if applicable ❑) '
Vlfit�Sliasllen s ZM Gi/diaL tZer, lRepair)
Installation Requirements/Conditions Number of trenches `F
Septic Tank Size / Oo gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench So feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: /6 A'w inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
GPM
Trench Spacing: T Feet on Center
Soil Cover. _t/—inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
-- inches below pipe
Aggregate Depth: 2 inches above pipe
17— inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the srstem type specified it different from the type specibed on the application. / accept the rperifiatiozr of this 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 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 to the conditions of this permit W AI IAIMtU Nit Nttll.M
Authorized State A Date: 1 2— 8— /
Construction Authorization Expiration Date: / Z — I? — Z6
HTE# slgSy
Permit # 2-86, S 7
Harnett County Department of Public Health
Site Sketch
_ PROPERTY LOCATON: q/S 0s 6#v46 -e4
ISSUED TO: cd 411e7 SUBDIVISION LOT # /y
Authorized State
Date: /2— 9
c4r �(s
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File M
Code:
Owner: Applicant: 6_N�
Address: Date Evaluated:
Proposed Facility: IM> Design Flow(. 1949): Property Size:
Location of Site:�,� Property Recorded:
Water Supply: U Public❑ Individual � E] Well E)Spring
Evaluation Method:[]Auger�Ho g 1 Pit ❑Cut
Type of Wastewater: 16 Sewage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(hi
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineriflogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
3
d_ l(p
a
i�
3rr
a'
`�
yn
o -,y
3L
70
vrr
L'
v R
sLOW�
30
Description Initial Repair System Other Factors (.1946):
System Site Classification ):(
Available Space(. 1945) Evaluatedted BB
S stem T e(s Others Present:
Site LTAR I'S .'7•