IPACHTE# /S_-5_-3_74 IHarnett County Department of Public Health 28663
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�t /� PROPERTY LOCATION: 4C/Sd4Tu v 12,bISSUED TO: �w> I� SUBDIVISION LOT #
NEW Qr REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Finrc..�p d- "iy-va
Proposed Wastewater System Type: 7_23% fzuG:Zdxis
Projected Daily Flow: V ty2fL&Ve6iPD
Number of bedrooms:�— Number of Occupants: — max
Basement []YesLS No
Pump Required: ❑Yes ❑ No Lel May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community O Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
f6 Five years
❑ No expiration
Authorized State A t:r A—�� Date: /4-10 — /5' SEE ATTACHED SITE SKETCH
The issuance of this permit by 160th dth Department in ito way gu /.tees 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 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 provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The constmction and installation requirements of Rules .19S8, .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: G//w.0r 4)0,0"/ PROPERTY LOCATION: W /WTtJn1N' t?7
SUBDIVISION LOT #
Facility Type: ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes P'1"lo
Type of Wastewater System" 2 S6/R 17A >019 L rJ C, Fez;-._ (Initial) Wastewater Flow:
(See note below, if applicable ❑)
25% R46V6EZjl
Li (Repair)
Installation Requirements/Conditions
Number of trent (s Z
Septic Tank Size /000 gallons
Exact length of each trench -75' feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. ZR{-) 15 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TUN vs.
GPM
Conditions:
/ oo GPD
Trench Spacing: Feet on Center
Soil Cover. _�_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
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.
inches below pipe
Z inches above pipe
/ Z- inches total
**If applicable: / wnderrtand the rynem type rperiled /r different from the type rpedled on the app/natio/ / accept the rperileationr o/ this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat or the intended we 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 At AI IALM IJ Dllt MILM
Authorized State A i9 v Date: / 2 — /a — /
Construction Authorization Expiration Date: /2 —/U — Zd
HTE# /� �^ 3-7t i 5 Permit # Z `8(43
Harnett County Depailment of I'nblic Health
Site "ketch
nn PROPERTY LOCATON: SrZ
O1 �V N J .i�
ISSUED TO: it tom_ I.�00x.4 / ( SUBDIVISION LOT #
SrZ 1501 ►JI
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Applicant: 1. - Date Evaluated:
'GW4
Proposed Facility:
Design Flow(. 1949): fm
but two
Location of Site:
Property Recorded:
Water Supply:^/
�lic❑ Individual E] Well
[_]Pit
Evaluation Method:EJ
AugerBBoTj�g ❑ Cut
Type of Wastewater: �" Sewage E] Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
MineralogyColor
.1942
Soil
Wetness/
.1943.1956
Soil
Depth M.
Sapm
Class
.1944
Restr
Horiz
ii 7-
j
3�
24-4
40..?j'yt
5�.
L 3y
o 2e
5L
It(
ao'
JCE. )
w S 5
3�-first
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948
Available Space (.1945) Evaluated B
System T e(s 7 V— Others Present:
Site LTAR • a 9• i