IPACHTE# Harnett County Department of Public Health 28842
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: & m fi rn— /Z-4
ISSUED TO: (ALrflrt k"e4 I. edA..M� SUBDIVISION LOT #
NEW CY REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5f–b
Proposed Wastewater System Type:26'iPn
Projected Daily Flow: 3Caz GPD
Number of bedrooms: 3 Number of Occupants: _max
Basement ❑Yes CerNo
Pump Required: ❑Yes ❑ No E0 MM Y be required based on final location and elevations of facilities
Type of Water Supply: El Community LTJ Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Ln rive years
❑ No expiration
Authorized State Agt(t:: _ '�� Z /� � Date: t.4 "� -fL SEE ATTACHED SITE SKETCH
The issuance of this permit by t4 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 it d( ice 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, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shill be installed in accordance
With the attached system layout
ISSUED TO: KGl& t PROPERTY LOCATION: aK,;1(/Z! �itFfav—/�
SUBDIVISION LOT # 3
Facility Type: wi> Qw( New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes E No
Type of Wastewater System** 2 S % `TL94�yu C lr - 5r 4-11*1 (Initial) Wastewater Flow: 3 &z0 GPD
(See note below, if applicable ❑)
2'S% fT/171u &P"' (Repair)
Installation Requirements/Conditions Number of renches Is
Septic Tank Size gallons Exact length of each trench c_o feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 74'1 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
(s inches below pipe
Aggregate Depth: 2 inches above pipe
/L inches total
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.
**If applicable: l understand the #Ytem type spetihed it different from the type spenfled on the application. l acrept the specifications 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 Authoriration 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 IAIA[U lilt )RC11,11
Authorized State A nt: Date:
Construction Authorization Expiration Date:
HTE#iris- 38Vo9
Harnett County Department
Site Sketch
Permit #
290YZ
of Public Health
_ PROPERTY LOEATON:SX-A-76' C0hev` /7'6
ISSUED TO: T� �y l�.�d �P��� � ' �" S SUBDIVISION LOT # 3
Authorized State Age \—
Ls Date:
i
1C)
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: r=-Dk'
Address: Date Evaluated: 4 �z 7,.z5
Proposed Facility: Design Flow (.1949): 3(2i
Location of Site: Property Recorded:
Water Supply:[JA,
�� Public❑ Individual El well
Evaluation Method: Lf AugerBing ❑ Pit ❑ Cut
Type of Wastewater: [J Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
q
.1940
Landscape
Position/
Slope%
Horizon
Depth
(1n.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LIAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
423
13
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):'D 5
Available Space (.1945) VEvaluated By:
System Type(s) 2 2` Others Present:
Site LTAR 3