IPACHTE# d�o'y ��Szzy Harnett County Department of Public Health 28816
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION: a -7O S 01 b _ch rllry % /C
ISSUED T0/ P /6 NyD l ! m ex SUBDIVISION c LOT #
NEW 2 I AI� EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: pV'JMP
Proposed Wastewater System Ty e: 2 S n/o IZr 6'*"V c -r 8-�-)
Projected Daily Flow: 3 a GPD
Number of bedrooms:'— Number of Occupants: max
Basement []Yes LS No
Pump Required: ❑Yes ❑ No f3 jMi 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.
a Five years
❑ No expiration
Authorized State ent 6—�G �r�Aa /t.� Date: `� ' 3 — F Co SEE ATTACHED SITE SKETCH
The issuance of this permit ealth Deparment in no way guarnmees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation if the site plan, plat or the intended use changes. The Improvement Permit shall nm 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 installation requirement of Rules .195D, .19S7, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layo//ut//� n
ISSUED TO: zJZr AI ✓o�Irn e c, PROPERTY LOCATION 5t /7019 01'Z> F—�F rLtr- ,e,, ✓CD
SUBDIVISION LOT # L
Facility Type: li3 M f f I]! New a Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes [0o
Type of Wastewater System** 2sZ 9Z� 47—LO1Jn%�4'l-r(Initial) Wastewater Flow: 3U r GPD
(See note below, if applicable ❑)
ZS -?O moist=' (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /dO D gallons Exact length of each trench / °" feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: zy inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: ft TDH vs. GPM
Conditions:
Trench Spacing:— Feet on Center
Soil Cover. 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
�Z inches total
**If applicable: / understand the system type spedfled is diferent from the type specified on the application. / accept the spetifcadonr of this permit
Owner/Legal Representative Signature: Date:
This construction Authonzanon it subject to revocation if the sire plan, plat or the intended use changes. The construction Authorization shall not be transfersed when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the previsions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit att AI IAlntll alit )RtlLtl
Authorized State Ilt — G n �� Date: �5 " 3" " I c.
% Construction Authorization Expiration Date: 3 ' 3-' Z -I
HTE# Ilo-s- 3s7 -7-y
Harnett County
Permit # Z
Department of INiblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: &4 Aj 1161 SUBDIVISION LOT # 1z -
Authorized State Ag Ax- , — /� Date:
1�
4 a Z5 !v Z"
L3- —
�/0
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: UX6J
Address: Date Evaluated?"Z'WS • /b
Proposed Facility: UH- Design Flow(. 1949): 354;�
Location of Site: Property Recorded:
Water Supply: Z__E;(Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ___❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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
1,2ri
L—L3�
o-tS�
51,
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): )�
Available S ace (.1945) Evaluated By:
System T e(s v Z Others Present:
Site LIAR • 3