IPACHTE# /lo -S 3ib18 Harnett County Department of Public Health 28801
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
qq PROPERTY LOCATION: Z
ISSUED TO- W1,JA06?zC'/! 77�-,J SUBDIVISION LOT # -!,v4
NEW APAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 51cb
Proposed Wastewater System Type:
Projected Daily Flow: ;moo GPD
Number of bech�"s: Number of Occupants: _max
Basement DYes❑/ No
Pump Required: lilies ❑ No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 9} Public ❑ Well Distance from well feet Permit valid for. E2/hve years
Permit conditions: ❑ No expiration
Authorized State A cat: Date: 3 — (— ( SEE ATTACHED SITE SKETCH
The issuance of this permit by/Ke ealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checkmg with appropriate governing bodies in meeting their requirements. This
site is subject to revowlien if a site plan, plat, or the intended use changes. The Improvement Permit shall not be a8ected 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..
in all directions)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
(onditions:
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.
c, inches below pipe
Z
Inches above pipe
/)_ inches total
**If applicable / understand the system type .specified is different from the type specified on the application / accept the specificatiom 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 )tt AI IAI.ntU )]It =11.11
��,'
Authorized State A_�.� fh., Date: 3— 4�
Construction Authorization Expiration Date: 3 — `i —Z.I
Construction Authorization
(Required for Building Permjt)
The construction and installation requirements of Rules .1950,
.1952, .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 TO: ec;k-A itse
PROPERTY LOCATION:
a cZZ
SUBDIVISION
LOT # 3A
Facility Type:C>d" SfrS
/New ❑ Expansion El Repair
f3
Basement? ' Yes ❑ No
Basement Fixtures? Yes ❑ No
Type of Wastewater System"
-?V.'
4.0 2�5% ;Scesf-r >
(Initial) Wastewater Flow: - M0 GPD
(See note below, if applicable ❑�
PLI=4:�
(Repair)
Installation Requirements/(onditions
r Number of trenches 3
Septic Tank Size ) ODD
gallons
Exact length of each trench i o O feet
Trench Spacing: Feet on Center
Pump Tank Size 1000
gallons
Trenches shall be installed on contour at a
Soil (over. s, inches
Maximum Trench Depth of: ZZ- 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: ft. TDH vs. GPM
Aggregate Depth:
(onditions:
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.
c, inches below pipe
Z
Inches above pipe
/)_ inches total
**If applicable / understand the system type .specified is different from the type specified on the application / accept the specificatiom 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 )tt AI IAI.ntU )]It =11.11
��,'
Authorized State A_�.� fh., Date: 3— 4�
Construction Authorization Expiration Date: 3 — `i —Z.I
HTE# //a - S- 30 o t 8 Per9blic
Z S 80 l
Harnett County Department of Health
Site Sketch j/
� n_ PROPERTY LOCATON:
�
ISSUED TO: )4DIOC4 &w/> +-oj SUBDIVISION moo/ A LOT # 74
Authorized StatedgL':! � /' 1 An.� ��i /��✓ Date: 3 - LI - i
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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: C*A_,nJ
Address: Date Evaluated: �U11
Proposed Facility: _Ipl> Design Flow (.1949):_:(¢D
Location of Site:,,/ Property Recorded:
IJ
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: 6Auga Boring ❑ Pit ❑ Cut
Type of Wastewater: II/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
Hertz
System Type(s) Z
Zr`'
Others Present:
�J
/J
Site LTAR •S
8 Z4
e-
I^
(s c
"x
NSNP
,e -v2
-�,
I�� p•
ss"gam
. 3
Description Initial
Repair System
Other Factors (.1946):
S stem
Site Classification (.1948):
) J
Available Space (.1945)
✓
Evaluated By:
System Type(s) Z
Zr`'
Others Present:
�J
/J
Site LTAR •S