IPACHTE# I�—s-38y33 Harnett County Department of Public Health 28843
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:0;u 60 / /20 Lis
ISSUED TO rf �%Jr�gri� �c�r c. !�/v SUBDIVISION LOT #
NEW Z REPAIR ❑ — EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3r��
Proposed Wastewater System Type: 2,�S'4 bout -taw.__
Projected Daily Flo 3Ca.0 GPD
Number of beds ms: Z Numb r of Occupants: _1�max
Basement Yes o
Pump Required: ❑Yes E-1NoM 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.
u rive years
❑ No expiration
Authorized State kinew ` - Date: `1- Z!v / la SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject in severances j um 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 provision of
the lam and Rules for Sewage Treatment and Disposal and co condition 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 met. Systems shall be installed in acordance
with the attached system layout
ISSUED TO: %et-/�brrr�.�Ae_ PROPERTYLOCATION:,,'5i"O//Z,�)R.,c_S x14
// SUBDIVISION LOT #
Facility Type: w Expansion ❑ Repair
Basement? No Basement Fixtures? Ye
Type of Wastewater System*" Z5.07/6 &C-6 V 64;? ) �csf � (Initial) Wastewater Flow: .3� GPD
(See note below, if applicable El)
2b -7v /Z/ �- nUU — (Repair)
Installation Requirements/(onditions Number of trehes
Septic Tank Size / O ° y gallons Exact length of each trench 5 G 6 feet Trench Spacing: Feet on Center
Pump Tank Size 10,14 gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: z z) 1'd inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDH vs. GPM
Conditions:
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
L inches below pipe
Z inches above pipe
/Z inches total
**If apuilicable: / understand the system type spec/bed is different fmm the type specibed cm the app/icadon. / accept the rpecifcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authoruadan h subject to revocation if the site plan, plat or the intended use changes. The construction Authorization shah not be transferred when there is a change in ownership of the site. This
wmbmmn Authnnlation u subject to compliance with the provisions of the tam and Rules for Sewage Treatment and Disposal and to the conditions of [his permit. 8t AI IRI.tl[U )Ilt Mt0.11
Authorized State Ag Z Date: `f -u. -� h
Construction Authorization Expiration Date: I - Z6 - Zt
HTE# 33 Permit # Z �If>6`f3
Harnett County Department of Public Health
Site Sketch
- r PROPERTY LOCATON: Sc_./(o0 IZA
ISSUED TO: Z�cG+hrc., t— orf �e SUBDIVISION LOT #
Authorized State ent ?�� Z /!4!2 Date:
-?PPA
SP
J
110��5 p
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:
Proposed Facility: Design Flow (.1949):
Location of Site:Property Recorded:
Water Supply: 'LJ Public❑ Individual ❑ Well
Evaluation Method: ❑Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: [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
(N.)
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
Restr
Horiz
I 3
L
-1y
/mac P
rM
s -q
0-2K
Sc_
4q,NsN0
c -tip
—wavl
P
z — JS
• �/
Description Initial Repair System Other Factors (.1946):
system/ Site Classification (.1948): 7S
Available Space (.1945) Evaluated By: Q�t
System T e(s) Others Present:
Site LTAR