IPACHTE# irp-s 397Js Harnett County Department of Public Health 28810
Improvement Permit
A building permit cannot be issued with only an Improvement Permit �A
PROPERTY LOCATION: ft Ch, tS�z� ire tlT '12Z
ISSUED TO: 4gF}'ri SUBDIVISION LOT # 3
NEW 51� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: :5vil=b
Proposed Wastewater System Type: Z!5-%
Projected Daily Flow: 4 $O GPD
Number of bedrooms: y Number of Occupants: g max
Basement ❑Yes Lh No
Pump Required: ❑Yes ❑ No &r Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
CO Five years
❑ No expiration
Authorized State Ag / iG Date: 3 —ZZ —1 ! SEE ATTACHED SITE SKEEN
The issuance of this permit It e Health 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 m reroatio the site plan, plat or the intended use changes. The Improvement Permit shall net be affected by a change in ownership of the site. This permit is subject in compliance with the provisions of
the taws and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The comma ion and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in xcordance
with the attached system layout
ISSUED TO: STWI-4--) .S PROPERTY LOCATION: cV JY12 L�JFZJ>
J SUBDIVISION LOTS# 3
Facility Type: U New V Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes LTJ No
Type of Wastewater System" ,S%s V[-rLOJ :+e5fc — (Initial) Wastewater Flow: 1180 GPD
(See note below, if applicable ❑
� Zf% (Repair)
InstallationRequirements/Conditions Number of trenches S'
Septic Tank Size 1 Z_C0 gallons Exact length of each trench Coo feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: Let 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 TON vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATIONS 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
i2 inches total
"If applicable: / understand the system type speciled is different fmlyy the type spealed on the app/ication. / accept the rpeciilcadenr of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revaation 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 SLE AIIALHED SIZE SKLICH
Authorized State XA, Date: 3 -z-7- — f
Construction Authorization Expiration Date: 3
HTE# 119— S — 3 $ZI S Permit # Z 88io
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:02U//Z C-Z� IZ
ISSUED TO: SUBDIVISION LOT # 3
Authorized State
11
Date: 3 —ZZ
Wasp.rd
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Ib
M
00
b
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: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
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
SL-Lar.--
Zz-k
3
(- -!5Z
2Y -4s
sect
�a8ws.n
vZ (K" a.,
L/
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): )
Available Space(. 1945) Evaluated By:
System Type(s)) -t-r. Others Present: -
Site LTAR