IPACNTE# l!n- S^ 30Z°rz Harnett County Department of Public Health 28836
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
J _ PROPERTY LOCATION:951 /3z .gneT Kf)
ISSUED T0/ x.01:. �+ga-�� T C�<- SUBDIVISION I LOT # 3
NEW 0 REPAIR ❑ xPANSION ❑
Type of Structure:
Proposed Wastewater System Type: 25v4. Yte.�Q� s�
Projected Daily Flow: / 00 GPD yoy
Number of bedrooms: �� Number of Occupants: y �� rr2xee5
Basement []Yes / 0 No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Yes ❑ No ❑ �M,aY'ba required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Lad Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
12�Five years
❑ No expiration
Authorized State Age r ' Date: of -/ S--/ (w SEE ATTACHED SITE SKETCH
The issuance of this permit b saint Department in no way guaran ees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation i the, 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 provisiom 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 accordance
with the attached system layout
ISSUED TO: 6:�/Let*31/I,:� L ('- Q t -)'r' PROPERTY LOCATION:
SUBDIVISION LOT #
facility Type: E3"hew ❑ Expansion ❑ Repair
Basement? ❑ Yes Er No Basement Fixtures? ❑ Yes DN
Type of Wastewater System** ZS`/o itl3+vv c.A� (Initial) Wastewater Flow: tOo GPD
(See note below, if applicable ❑)
z5� Pv- S-1, 'F— (Repair)
Installation Requirements/Conditions Number of trenches -1-
Septic
Septic Tank Size G0c:9-0 gallons
Pump Tank Size / a o o gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench & 6 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: ZH inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: S Feet on Center
Soil Cover. riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
Z inches above pipe
/ Z inches total
**If applicable: / cmdeatand the system type spec/fed is different trim the type specified on the app/icadon. / accept the Jpecifcationr 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 then 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 SEE ATTACHED SITE SKETCH
Authorized State Ag%y ` Date:
Construction Authorization Expiration Date: -fs , Zc6
HTE# /6- 5-- 30'Z5 Z
Permit # ztm836
Harnett County Department of Public Health
Site Sketch
"� � L PROPERTY LOCATON: /S�7 %r l fob
ISSUED TO: 69Q4pl-s l� r e trn ,—�( � SUB/DIVISION LOT #
Authorized State enk !;2"r ilnt//e±A, .T Q� Date: y—i 5'4-
V101A
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:
Address: Date Evaluated: K"It=16
Proposed Facility: ( [,� Design Flow (1949): lob 6? D
Location of Site: Property Recorded:
Water Supply:�Public❑ Individual El Well
/
Evaluation Method: Ly AugerB ring E] pit [3 cut
Type of Wastewater: (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
Rein
Horiz
�
L- 3b
0 - ZS
SL
6.1a-rJ5
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948): t� 5
Available Space (.1945) Evaluated By:
System Type(s) 2s"11 -7.6 - Others Present:
Site LTAR