IPACHTE# �L,-S �g39� Harnett County Department of Public Health 28840
Improvement Permit
A building permit cannot be issued with only an Im mirement Permit
PROPERTY LOCATION �N3 Z
ISSUED TOr U SUBDIVISION LOT #
NEW l( REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5
Proposed Wastewater System Type:25/s'IL Q-WLZL
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No �
Pump Required: ❑Yes ❑ No fl Mx be required based on final location and elevations of facilities
Type of Water Supply: 11 Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
FB" Five years
❑ No expiration
Authorized State per - t:: ,>� Date: H - ZI— I(" SEE ATTACHED SITE SKETCH
The issuance of this mitb 4lealth 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 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 mnstmction and insulation requirements at Rules .1958, .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 TO: �� 5 P-F/Lil� PROPERTY LOCATIONa--'W15'I 3 L�i�� -S sZz�)
/ SUBDIVISION LOT # /
Facility Type: / E New D/ Expansion ❑ Repair
Basement? ❑ Yes I No Basement Fixtures? ❑ Yes Ek'No
Type of Wastewater System** 7SVa /I-6i'>V s (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Ll 7 (Repair)
Installation Requirements/Conditions 4umber of trenches 7
Septic Tank Size Oo 0 gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2g inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
19
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.
t inches below pipe
inches above pipe
inches total
**If applicable: / uadernand the system type speeded is different from the type specified on the app/kation. / accept the rpedhcations 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 n subject to compliance with the provisions of the Laws and Rules tar/Sewage treatment and Disposal and to the conditions of thin permit JCC Al IRLnCV 311E 3REll.n
Authorized Stategent:-��1� �5� Date:
' Construction Authorization Expiration Date: of - 21 - z /
HTE# Permit # _ 88 %o
Harnett County Department of Public Health
Site Sketch
// PROPERTY LOCATON: 511 15-7(Zn cNN�S /2�
ISSUED TO: C U/Ci.5 ;let 11--;, SUBDIVISION LOT #
s / �
Authorized State Age /C_.' % ` Date:
'v
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: y'l1s2!—c�
Proposed Facility: 5 Design Flow (.1949):
Location of Site:r-Property Recorded:
Water Supply: �,�-- E� rublic❑ Individual ❑ Well
Ll
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: [Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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 M.
.1956
Sapro
Class
.1944
Restr
Horiz
ZD •ti
5C L-
ISS S. ('
Z
V. yy
P-io
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act
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR • 'f