IPAC RRHTE# /6"5 38�a-�2 Harnett County Department of Public Health 28817
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
Q_ � ��J PROPERTY LOCATION: H -LAI SS
ISSUED TO /�/t�etYt�C li/cTLCF /3 Yy u1i c. SUBDIVISION LOT # L
NEW f REPAIR ❑ EXPANSION ❑
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: 3Z0 GPD
Number of bedrooms: —} Number of Occupants: max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑Yes 0 No J/
Pump Required: ❑Yes El No FJ� Ma a 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 Ment — Date: /!' /Zz SEE ATTACHED SITE SKETCH
The issuance of this permit to t e Asaph 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 if 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 pravisions 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 requirements of Rules .1950, AM, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: ,g //ffrAJc PROPERTY LOCATION:
0 SUBDIVISION
Facility Type: f7 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fix res? ❑ Yes E210
Type of Wastewater System** ZS�,6��-Su Zn (Initial) Wastewater
(See note below, if applicable ❑)
ZSrL l , Repair)
Installation Re uirements/Conditions Number of trenches Z
LOT # z
Flow: 3�� GPD
q
Septic Tank Size 10C> gallons Exact length of each trench /sem feet Trench Spacing: l Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 4 riches
Maximum Trench Depth of.. 2.6" inches (Maximum sail cover shall not exceed
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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
/L inches total
**If applicable: / understand the system type specified is different fnim the type spedfed on the application. / accept the speulanons o/ this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation 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 las and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI IA1.ntU lilt IR111.11
g�ltt
Authorized State A=:,ami /me�( 14e Date: q -11-1k,
Z/ Construction Authorization Expiration Date: 'f —// —Z/
HTE# i69—S 5E3Z32f2fZ
Permit # Z 88 / 7
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: SS
ISSUED TO: o SUBDIVISION LOT #
Authorized State Adent L Date:
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: 14r�
Address: Date Evaluated:
Proposed Facility: Design Flow(. 1949): -J
Location of Site:Property Recorded:
Water Supply: [] Public❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 0-1Sewage ❑ 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
z
L�
6
s`
3
Description Initial Repair Sys[em Other Factors (.1946):
S stem Site Classification (.1948):
Available S ace (.1945) Evaluated B �.
S stem T e(s) Others Present: 'r
Site LTAR - J