IPACHTE# Harnett County Department of Public Health 28834
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ScLYcf 9, A *'S /y%
ISSUED TO: j *t5� r SUBDIVISION LOT #
NEW Ea UREPA100 EXPANSION ❑
Type of Structure: ZSF-1_'�
Proposed Wastewater System Type:Z-�6c->.A 1_'—o �—
Projected Daily Flow: tY e#-- GPD
Number of bedrooms: Cf Number of Occupants: max
Basement []Yes 9 -No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No ❑'May, be required based on final location and elevations of Facilities
Type of Water Supply: ❑ Community Ci Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
IT -Five years
❑ No expiration
Authorized State Age aE Date: `z'^ / 5 --1 SZ SEE ATTACHED SITE SKETCH
The issuance of this permit by a naltls Oeparunent in no way guarantees the issuanre 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 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 requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be over, Systems shall be installed in accordance
with the attached system layout.
ISSUED TO:C w /_ PROPERTY LOCATION:e_�VL1c/cf ce 47_K ntS 12,1)
U O SUBDIVISION LOT #
Facility Type: S 2 New Expansion ❑ Repair
Basement? ❑ Yes [0 No Basement Fixtures? ❑ Yes 19N o
Type of Wastewater System** 2-Sfn 1Z&1>V Q_ur� s*&, (Initial) Wastewater Flow: 4,04 GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches -2—
Septic
Septic Tank Size gallons Exact length of each trench /5 y feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2Z Vii ' inches
(Trench bottoms shall be level to +/.I/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 IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
2 inches above pipe
/2_ inches total
**If applicable, / understand the rrsteny type spedfed is different from the type spedled on the app/icadan. / accept the speciifcationr of 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 Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit At AI IRCMtU lilt 31111:11.111Authorized State G zy ✓fz.�.. � Date: `if
�� Construction Authorization Expiration Date: a-{ ` 7 3 -Zl
HTE# JL ' S —383 ZI Permit # 31
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State
PROPERTY LOCATON:
SUBDIVISION LOT # 3
c— Ay� •.— Date:
I r
i
W f (oP
5100
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: C
Address: J Date Evaluated: 6 t 'I t ' �t7
Proposed Facility: Design Flow (.1949): 4 �V
Location of Site: Property Recorded:
Water Supply: aPublic❑ Individual ❑ Well
Evaluation Method:0"'Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: E] -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
Salim
Class
.1944
Restr
Horiz
17
3
si
Description Initial Repair System Other Factors (.1946):�7—
System Site Classification (.19487
Available Space(. 1945) ✓ Evaluated By:�/
System Type(s)'7e) '7e'_— r Others Present:
Site LTAR �