IPACHTE# /G, -S -_az Ys Harnett County Department of Public Health 28837
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION: �L1Y/� /�P+t.�/��, 7c�
ISSUED TO: L-sLs-c SUBDIVISION / LOT #
NEW d REPAIR ❑ EXPANSION ❑
Type of Structure: rl^�
Proposed Wastewater System Type: Z%i�Skh rLrf�J
Projected Daily Flow: 3Ceao GPD
Number of bedrooms: 3 Number of Occupants: fe max
Basement ❑Yes 3 No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes ❑ NofJ Ma ,be required based on final location and elevations of facilities
Type of Water Supply: El Community I Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for. Dive years
❑ No expiration
Authorized State Ag nt: ` ` 1 /1 T Date: `/ —/`7 — /(. SEE ATTACHED SITE SKETCH
The issuance of this permit by Health Department in no way guarantees the iuuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements This
site is subject to revocation i 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 concoction 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 accordance
with the attached system layout
ISSUED T0: PROPERTY LOCATION:
SUBDIVISION / LOT # 2,f?ff
Facility Type: 1 ` Iff�New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Q' o
Type of Wastewater System" ZS% t.b14) 15.75�f fes_ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
ZSR, iZB �xJ�Ze/ �5 (Repair)
Installation Requirements/Conditions Number of trenches 7
Septic Tank Size / Do o gallons Exact length of each trench $a feet Trench Spacing: Feet on Center
Pump Tank Size gallons
Pump Requirements: It, TON vs.
Conditions:
Trenches shall be installed on contour at a
Maximum Trench Depth of. 74 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Soil Cover. 7;FInches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
2 inches above pipe
/Z' inches total
**If applicable: / understand the system type rpecih'ed iJ different from the type specified on the app/ication. / accept the tpecifcatioru of this permit
Owner/Legal Representative Signature: Date:
This Construction Ainhum um is ud,wd m revocation if the cite J.. slat or the intended use rhanoes. The Cnnstuame, Aullmrinfion shall not be transferred when then is a chane in ownermi. of the it, This
Construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit At AI IALntU lilt lxtlLtl
Authorized State Ag _ " " i't rax2 %%% Date:g--
� Construction Authorization Expiration Date: `f
HTE# i�-5 — 3E>5 Permit # G o837
Harnett County Department of Public Health
0 3y s Site Sketch
// PROPERTY LOCATON; C -i vi 4 Af&=., Sid2, —
ISSUED TO: �' �5 `1-G SUBDIVISION % LOT #
Authorized StateenA4 t: _ �'" Date: — t S " f �
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: tf • f -/S - / (�
Proposed Facility: Design Flow (.1949): 3&�'
Location of Site -Property Recorded:
L'J
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger Boring El ❑ Cut
Type of Wastewater: -E] 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.)
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
Rear
Horiz
Description Initial Repair System Other Factors (1946):
System / Site Classification (.1948): 15
Available Space (.1945) Evaluated By:
System Type(s) q ' Others Present:
Site LTAR Y