IPACHTE#I/o `t;'-- -3,SZ/ 3 Harnett County Department of Public Health 2883
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
Authorized Stateent: G "� Date: `� �/ ��o SEE ATTACHED SITE SKETCH
The issuance of this permit th Health Department in no way guars ees the issuance of other persona. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revonti irtthe 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 construction and installation requirement of Rules .1950..1951, .1954, .1955, .1956, .1957..1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in acordane
with the attached system layout.
ISSUED TO: S 1plfrtk ?'"a 'PROPERTY LOCATION: �- �S�i3iZtf�Crw��� �J
�^� SUBDIVISION LOT # r
Facility Type: 4 15' New ❑, Expansion ❑ Repair
Basement? ❑ Yes 19 No Basement Fixtures? ❑ Yes ako
Type of Wastewater System** Z-5�% / —�� S��Fv' (Initial) Wastewater Flow: 3i6 GPD
(See note below, if applicable ❑)
2 S� lis' TSU c.0_ (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size 1D0(} gallons Exact length of each trench ,/525 feet Trench Spacing: 7 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 4 inches
Pump Requirements: (C TDM vs.
Conditions:
Maximum Trench Depth of: ZI/ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(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 specified is different from the type specAed on the application. / accept the specihcadnns of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site pian, plat or the intended use changes. The Construction Authorization 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
Authorised State frit: Date: !
%/ Construction Authorization Expiration Date: ti _P_ 2/
PROPERTY LOCATION clmi/3.tfc.ltio--L, !/( yz-p
0. �Iy1i
ISSUED Tft/'2�
c. S SUBDIVISION C� ��S�r�a- A!Ps'f
LOT # S
NEW 1Y
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
5f=-1 _�)
Proposed Wastewater System Type: ZS % FZ/s tltsZ tQt
Projected Daily Flow:
3t..o
GPD
Number of bedrooms: -T
/
Numb of Occupants: `� max
Basement ❑Yes
0 %
Pump Required: Dyes
Type of Water Supply:
❑ No
❑ Community
O(M be required based on final location and elevations of facilities
Public ❑ Well Distance from well feet Permit valid for.
1
[J Five years
Permit conditions:
❑ No expiration
Authorized Stateent: G "� Date: `� �/ ��o SEE ATTACHED SITE SKETCH
The issuance of this permit th Health Department in no way guars ees the issuance of other persona. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revonti irtthe 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 construction and installation requirement of Rules .1950..1951, .1954, .1955, .1956, .1957..1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in acordane
with the attached system layout.
ISSUED TO: S 1plfrtk ?'"a 'PROPERTY LOCATION: �- �S�i3iZtf�Crw��� �J
�^� SUBDIVISION LOT # r
Facility Type: 4 15' New ❑, Expansion ❑ Repair
Basement? ❑ Yes 19 No Basement Fixtures? ❑ Yes ako
Type of Wastewater System** Z-5�% / —�� S��Fv' (Initial) Wastewater Flow: 3i6 GPD
(See note below, if applicable ❑)
2 S� lis' TSU c.0_ (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size 1D0(} gallons Exact length of each trench ,/525 feet Trench Spacing: 7 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 4 inches
Pump Requirements: (C TDM vs.
Conditions:
Maximum Trench Depth of: ZI/ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(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 specified is different from the type specAed on the application. / accept the specihcadnns of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site pian, plat or the intended use changes. The Construction Authorization 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
Authorised State frit: Date: !
%/ Construction Authorization Expiration Date: ti _P_ 2/
HTE# --58213
Permit # Z a a 3 '
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATOWzWZ`V���/
ISSUED T0: SUBDIVISION CI&v 257— LOT # 5
Authorized StateAg�eu� ram-� Date:
s'
Cif I( 60r:--- /),2
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Applicantsrf -1�'``-"
Date Evaluated: t/-5 -/,6
Proposed Facility:
lo(fp') Design Flow(. 1949): 9,;ip
Location of Site:,,����
Water Supply:
Evaluation Method:
Property Recorded:
L,(Public❑ Individual ❑ Well
AugerBBon g E)Pit ❑ Cut
Type of Wastewater: I� 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
Sapm
Class
.1944
Restr
Hartz
3
L
o• t o
SG
GR 1ST/.
Description Initial Repair Sys Other Factors (.1946):
System Site Classification (.1948): }
Available Space (.1945) VEvaluated By:�._..� L.
System Type(s) Others Present: �—
Site LTAR