IPACH T E # iss37-7.7i Harnett County Department of Public Health 28708
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUEDT}'' �F�w1�:r COAS4UCf' oh SUBDIVISION LOT #
7
NEW REPAIR ❑ EAPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFO aiS X Yd
Proposed Wastewater System Type: ds%, Aed kx1- cvc Ji -4.11
Projected Daily Flow: 340 GPD
Number of bedrooms: J Number of Occupants: 6 max
Basement []Yes 01110
Pump Required: Dyes An ❑Ma be required based on final location and elevations of facilities �..�
Type of Water Supply: 11 Community 77Public C-1WellDistance from well feet Permit valid for: le rive years
Permit conditions: ❑ No expiration
Authorized State Agent:Z f Date: / 11Y42016 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health eparonent in oo way guarantees dhe 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 Permitl
The construction and installation requirements of Rules .1950, .19S2, .1954, ASS, .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: Alt/ `AkIC C04l41ro4!,w.% PROPERTY LOCATION: kie (I I��Cel.Zcl
SUBDIVISION LOT # y
Facility Type: 11'10 Wr New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ElYes 1-1No
Type of Wastewater System- c2.1-7. <duc4, .o, .stew, (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
JJ -7, S/!°4(Repair)
Installation Requirements/Conditions Number of trenches /
Septic Tank Size 00 gallons
Pump Tank Size gallons
Pump Requirements: ft TDH vs.
Conditions:
Exact length of each trenchU� feet
Trenches shall be installed on contour at a
Maximum Trench Depth inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: _� Feet on Center
Soil Cover. 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
"If applicable: / ondersnad the system type speahed it different from the type speaffed on the app/intron. / accept the Weiitations o/ 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 att AI IALHtU 3111: MM"
Authorized State Age✓���f��—a e�f�� Date: </5o a?�o 6
Construction Authorization Expiration Date: e20 7
NTE# /,5 7731 Permit # 8 70 5
Harnett County Department of Public Health
Site Sketch
PROPERTY LOLATON:y0: I
ISSUED T0: /tf�wwf:� �'a �f����: n SUBDIVISION % LOT #
Authorized State Agent •rte �1 /C/,/,/ Date:
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: , 11? ��b
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site:,� Property Recorded:
Water Supply: LB Public❑ individual ❑ Well
Evaluation Method:Auger Bo ' g ❑ Pit ❑ Cut
Type of Wastewater: LSeewage ❑ 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
G,T 41
n- / a
c> S
fr d'JP
e j
SL
1/reATv(
-)L
u I5-ci
6_ .76
Cr, 14f
(44—VVIAll
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): f�
Available Space(. 1945) Evaluated By:,O —
S stem Type(s) 4Others Present:
Site LTAR