IPACHTE# hl — 5-- 5 8 Q 17 Harnett County Department of Public Health 28820
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T . / / � S PROPERTY LOCATIONcW: ZV 3 7
SUBDIVISION ✓ le i /-T LOT # 16
NEW 9 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: .5f:
Proposed Wastewater System Type: 25ajv QeW crZAQ ��
Projected Daily flow: <i $O GPD
Number of bedrooms:_ Number of Occupants: max
Basement ❑YeS EirNo
Pump Required: ❑Yes ❑ No f Ma a required based on final location and elevations of facilities
Type of Water Supply: C1 Community Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
L_T Five years
❑ No expiration
Authorized State A'/ Date: V—/—/( SEE ATTACHED SITE SKETCH
it The issuance of this peby thyHealth 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 revoation it he site plan, pla, 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 taws 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, .1952, .1954, .1955, .1956, .1957, .1950. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordana
with the attached system layout
ISSUED TO: '#rr� tel(' PROPERTY LOCATION: /tf37 4Cfr„�J/lj�
SUBDIVISION 13.Isi.,._�s n_ /� c LOT # /�
Facility Type: t�� 2 New Q Expansion El Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 17 No
Type of Wastewater System** ?S-0/' rZ4;:tua[.ijjr� S,ys)�..�_ (Initial) Wastewater Flow: 4490 GPD
(See note below, if applicable ❑)__.
Its Fb? I� S 3(Repair)
Installation Requirements/conditions Number of trenches
G
Septic Tank Size , A J gallons Exact length of each trench 56 0 feet Trench Spacing: Feet on (enter
Pump Tank Size gallons
Pump Requirements: ft TDH vs.
Conditions:
Trenches shall be installed on contour at a
Maximum Trench Depth of 19" inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Soil Cover. 0 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
Z inches above pipe
/Z inches total
*If applicable / unCe/stand the s}rtem type Jpecihed is different kora thee rpenh'ed on the app/ica6on. / accept the specipcatioX o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Whotuton is subject to revocation if the site plan, pWl, or the innnded use changes. The Constmaion Authotation shall not be transferred when there u 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 SEE ATTACHED SITE SKETCH
Authorized State ent:a� Date:
�/ Construction Authorization Expiration Date: Z t
HTE# 3 bDi-j Permit # ? so ZO
Harnett County Department of Public Health
Site Sketch
ISSUED T0:
Authorized
G �Je,,)JD(yd 0,4y
S06'
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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: t1_A- _ 5 -f6 -3I -Lb
Address: Date Evaluated:
Proposed Facility: 'b21N, Design Flow (.1949): LGlo,>
Location of Site: Property Recorded:
Water Supply:i Public❑ Individual ❑ Well
Evaluation Method..,ffAuger Boring ❑ Pit ❑ Cut
Type of Wastewater: U -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
Y -r:-
Description N.C(
Repair System Other Factors (.1946):
System Site Classification (.1948): J>-5
Available Space (.1945) Evaluated By:
System stem Te(s) Others Present:
Present:
Site LTAR