IPACHTE# %& --38a z Harnett County Department of Public Health 28809
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/7 PROPERTY I-OCATIONky9,,ZV3r7 W)
ISSUEDTO• L ll/+t�� � �T/rY �JG SUBDIVISION C33o (./�a -p t��r.rn 5 4.1— LOT # _ 7
NEW IV REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ZS % b'wz a cx�l
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes�/�—yNo
Pump Required: eL�IY s ❑ No ❑E Mia be required based on final location and elevations of facilities ET -
Type of Water Supply: ❑ Community LTJ Public ❑ Well Distance from well het Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized Stat A ent: �Date: 3 —Z 1 — I 1p SEE ATTACHED SITE SKETCH
The issuance of this permit by a Hgal h Department in no way guarantees 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 byte
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 wmithance 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 requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, ASS. 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: —7;J G PROPERTY LOCATIQN:,! z Ll lzh
SUBDIVISION __ /J�TY� S LOT # 87
Facility Type: /I f3 New E , Expansion ❑ Repair
Basement? ❑ Yes Ed No Basement Fixtures? ❑ Yes E 'No
Type of Wastewater System** Iv#% , (Initial) Wastewater Flow: 3(P6 GPD
(See note below, if applicable
---r, -F-a 2� � t`i�1id/Zi4nlAepair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size /00 O gallons Exact length of each trench / 2U feet Trench Spacing: Feet on Center
Pump Tank Size / 1D6y gallons
Trenches shall be installed on contour at a
Maximum Trench Depth
(Trench bottoms shall be
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
of: 2` inches
level to +/-1/4"
Soil Cover. 4� inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
l inches below pipe
Aggregate Depth: Z inches above pipe
IZ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type speciled it di/erent from the type speciled os, the app/icadan. / accept the spealcations 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
tonstmction Authonzanon is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit S[[ Will Silt )RtILM
Authorized State AgZ Date: 3 - ZI — l (p
Construction Authorization Expiration Date: 7-)- ZI - Z
NTE# 39012 Permit # 2,68 b7
Harnett County Department of Public Health
Site Sketch
n PROPERTY LO(ATON-a5&) )7 F3�(jFnrQ�i�
ISSUED T0: fY a Z4_ SUBDIVISION AJada,' LOT # 87
i r�fS
Authorized State At nt;�a?� >—�� �/� �d Date: '�' Z/
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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:
Address: Date Evaluated:
Proposed Facility: 5C Y > Design Flow (.1949)::F,�a
Location of Site: Property Recorded:
Water Supply: Public❑ Individual-r-y�� � Well
Evaluation Method: Auger Boring tJ r 1t�7 ❑Cut
Type of Wastewater: Sewage stria) 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 W.
.1956
Sapro
Class
.1944
Restr
Horiz
i, zt 3
L 4 ?
p 3a
(- 10
&C,4( yi_'6�
ts-
L67�
o -Ly
s� 1
Description Initial Repair System Other Factors (.1946)-
System
946):S tem Site Classification (.1948):
Available Space(. 1945) Evaluated B).
System Type(s) Z Others Present:
Site LTAR ' Y • i