IPACHTE# Harnett County Department of Public Health 28671
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: S/1 Js
ISSUED T : /�! r//6 4zfq SUBDIVISION LOT # J3
NEW f� REPAIR ❑ EXPANSION ❑
Type of Structure: �sJ ✓k { F
Proposed Wastewater System Type: 1 15"% 1215Z
Projected Daily Flow: 360 PD
Number of bedrooms: Number of Occupants: % max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Oes ❑ No ❑ Moe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community fa Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Ise Five years
❑ No expiration
Authorized State A t: C... ' d Date: / - /J - 16r SEE ATTACHED SITE SKETCH
The issuance of this permit by e�alth Department in no way guarantees the issuance of other it. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation #hf site plan, plat, or the intended use Manges. The Improvement Permit shall not he 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 requirement of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall he installed in accordance
with the attached system layout
ISSUED T0:
PROPERTY LOCATION:XJ�Io
SUBDIVISION LOT # In
Facility Type: D � d New Expansion ❑ Repair
Basement? ❑ Yes 9 HSI Basement Fixtures? ❑ Yes 2%o
Type of Wastewater System** ?J,p 4-cs (Initial)
(See note below, if applicable EIL-, 1—
r"G o 4t=> 75'92o Win_ (Repair)
Installation Re uirements/Conditions Number f t h 3
Wastewater flow: 3(s-0 GPD
q um er o renc es
Septic Tank Size d6 0 gallons Exact length of each trench 136 _ feet Trench Spacing: �9 Feet on Center
Pump Tank Size J 0 gallons Trenches shall be installed on contour at Soil (over. G� inches
Maximum Trench Depth of: 4�0" 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: R. TDM vs. GPM _� inches below pipe
Aggregate Depth: 2 inches above pipe
Conditions: 6n-+TL� h"-. ""'r-- v-� inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFL 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/icadoa / accept the rpecifcatanr of this permit
Owner/legal Representative Signature: Date:
This Conswction Authorization is subject in revocation if the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when Mere 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 m the conditions of this permit SEE ATTACHED SITE SKETCH
44
Authorized State Ag�enLtt r yt Date:
i
Construction Authorization Expiration Date: t - 11 - Z /
HTE# Permit # e2'86 7 Z
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:,';e,7*, /I"- 'elI
ISSUED TO: 7Li Ib SUBDIVISION LOT # f _
Authorized State ADate:
I
I-
•k No Gds{; G2 Q�G , ��' -'� / , �1 ,�l
I
/- '� Z3 .eta _ Y't=-•- �,�� ,SIG
_�y� A Jif'"
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:_ -67
Address: Date Evaluated: 1-7-0-0
Proposed Facility: Qk4--''Design Flow(. 1949):
Location of Site: Property Recorded:
Water Supply: Q. Public❑ Individual ❑ Well
Evaluation Method:❑ -iWga Boring ❑ Pit ❑ Cut
Type of Wastewater: .0 -Sewage ❑ 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Ham
1113
t_-r'l
e- is
L
✓X-Gsr
C-01XV15
74,11
3� -7
Description Initial Repair System Other Factors (.1946):
System Site Classification ):
Available Space .1945 / Evaluatedted By:
System Type(s)—7 Others Present:
Site LTAR • tr
D