IPACHTE# 3-19 SCP Harnett County Department of Public Health 28685
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOfAT10 t�
ISSUED TO:.�IZAKE �� fY� ""� SUBDIVISION f I TT✓�3 �iI., LOT # 2—
NEW Q" REPAIRR 0 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily flow: -3 (a --O GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes
Pump Required: ❑Yes ❑ No required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for.Five years
Permit conditions: ❑ No expiration
Authorized State Date: % S l( SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in no way guarantees the issuance of other permim The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it 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 construction and imtallation requirements of Rules .1950, .1953, .1954, .1955, .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 T0: K/1 r/h ✓/t/-5 PROPERTY LOCATION: f -('w -r, t-42-
�� SUBDIVISION N &oiye t 4,tA'ti�--� LOT # Z
facility Type: �� LAS NewExpansion El Repair
Basement? 71 Yes No Basement fixtures? 11 Yes No
Type of Wastewater System** 7S'/. Ry�--bt) U-I-tr'�) -Y s, (Initial) Wastewater flow: GPD
(See note below, if applicable ❑)
ZSO;za 0,0"%v (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size D O U gallons Exact length of each trench SO feet Trench Spacing: feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 7D 738 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
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
yL inches total
**If applicable: / understand the system type spedfid is different hum the type specified on the app/icadon. / accept the rpedfcations 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 att AIIACHLD Slit MILH
Authorized State AgeDCDate: 2-S' -
/ Construction Authorization Expiration Date: 2—s = 24
HTE# I(, —' — 3�`�� Permit# �8C'"`�
Harnett County Department of 11�tblic Health
Site Sketch
PROPERTY LOCATON:� /2
ISSUED TO: SUBDIVISION LOT # z.
Authorized State ent Date: Z ' S — �(a
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:!/lam -z 3ft-16
Address: Date Evaluated:
Proposed Facility: jq9 Design Flow (.1949):3
Location of Site: Property Recorded:
Water Supply:�, []Public❑ Individual El Well
LJ
Evaluation Method: 'Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: [Sewage ❑ 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
�-yo
5C'�tl�
I�tcs.P•
3�•32:�
� 3
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): �5
Available Space(. 1945) / / Evaluated By:�/--�
System Type(s)) ZS% Others Present: r
Site LTAR 3 • 3