IPACNTE# Harnett County Department of Public Health 28830
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED TO- , A . n7",S 71—: V�e
_ // PROPERTY LOCATION: lP. , �H t)t a
SUBDIVISION
LOT #
NEW LN REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 131 D %
Lr- %Za ^as
Proposed Wastewater System Type:
CLW ✓
Projected Daily Flow. Z L4 a
GPD
Number of bedrooms:
Number of Occupants: _max
/'
Basement []Yes❑I No�'
Pump Required: []Yes No
Type of Water Supply: ❑ Community
❑ MMayAe required based on final location and elevations of facilities
Ld Public ❑ Well Distance from well feet
Permit valid for. Five years
Permit conditions:
❑ No expiration
Authorized State ent: v 14 Date: `f -tL -Gt SEE ATTACHED SITE SKETCH
The issuance of this permit a 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 to revocation it the site 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 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 mnstmction 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 accordana
with the attached system layout.
ISSUED TO: �dA- PROPERTY LOCATION: AA,,4 q1) I AJ
SUBDIVISION LOT #
Facility Type: 19' New Expansion ❑ Repair
Basement? ❑ Yes No Basement fixwres? ❑ Yes EX
Type of Wastewater System** ��NL/wFi rn (Initial) Wastewater Flow: Z -4D GPD
(See note below, if applicable ❑)
cr--u..a (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size D gallons Exact length of each trench Bo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. zy)Lb inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil (over. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
i
(w inches below pipe
Aggregate Depth: 'Z inches above pipe
/Z-- inches total
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.
**If 1pplicable: l onderstaod the system type specified it different from the type spedhed on the applicadon. / accept the speabcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Audrorization is subject to revocation it the site plan, plat or the intended use changes. The Consuuaion Authorization shall not be transferred when there is a change in ownership of the site. This
Lonstmction 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 ltt AI IAL11tU lilt )RtLH
Authorized Statef'2'Date: -14-
t =
Construction Authorization Expiration Date: /-Z/
NTE# /c- S-- 3 633 Permit # 2'9 X83 ,D
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:�
ISSUED TO: � JUc0 c, SUBDIVISION LOT #
Authorized
,Z�ry
tN i 7 bt Rin(.
c—
�
101b
I I
),(,-j Kai 4
Date:
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: Y
Proposed Facility -Design Flow (.1949): 2�L
Location of Site:2Property Recorded:
Water Supply: - TlPublic❑ Individual ❑ Well
Evaluation Method: Auj aBBorrmg C] Pit ❑ Cut
Type of Wastewater. 6 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOH, MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LIAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
0
to
wca
f aMv_�b
sti
3
p IZ
5(_
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):,
Available Space .1945) Evaluated B
System Type(s)Z ts"t- Others Present:
Site LTAR