IPACHTE# I/o -5-38335 Harnett County Department of Public Health 28844
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 5, Uql Z i'AC++ia T nr� Lcr/t
ISSUED T�
V /U 01+f"f 31 +C ff7'EX r6 SUBDIVISION LOT # `3
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5F7
Proposed Wastewater System Type: 2t5'Z
Projected Daily flow: '5te Q GPD
Number of bedrooms: Number of Occupants: max
Basement Dyes Q No J/
Pump Required: ❑Yes ❑ No L7 M,ai'�a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community f3 Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
131ive years
❑ No expiration
Authorized State env.: L �s✓{vrC / Date: e I Z� —1 (� SEE ATTACHED SITE SKETCH
The issuance of this perms b the ahh Department in no way guarantees the issuance of other permits. The permit holder is responsible far checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation i t e 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 previsions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The constmetion and installation requirements o1 Rules .1950, .1957, .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: N611,Df t3f/-�CN+24Z PROPERTY LOCATION: :54 /C(/ Z -/Z�
SUBDIVISION LOT # 3
Facility Type: Sri 13/ NewExpansion ❑ Repair
Basement? ElYes No Basement Fixtures? ElYes E� No
Type of Wastewater System'* 25Mo (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
2S-`-�
L—kL=,� U�/� (Repair)
Installation Requiremenu/Conditions
Number of trent es 3
Septic Tank Size /000 gallons
Exact length of each trench too feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of 22-i13 inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: / Feet on Center
Soil Cover. & inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES )IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
Z inches above pipe
/ Z inches total
**If applicable: / ondeatand the system type specifted it different from the type spec/lied on the app/ic2don. / accept the specAadom 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 commission Authorization shall not be transferred when there 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 ltt AI IAIHtD lilt 1Rt11.H
Authorized State t: f Date: —Z7 — t Lt-
C nstruction Authorization Expiration Date: '( — 7-'7 — Z/
HTE# Permit # 269,f
Harnett (bounty Departinent of Miblic Healtb
Site Sketch
PROPERTY LOEATMs- X IML
ISSUED T0: —SUBDIVISION LOT #
Authorized State Ant:
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
SYSTEM
Owner: Applicant: 51-_ "` T
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Q Public❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Ellsewage ❑ 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
Sapro
Class
.1944
Rmtr
Honz
1
s's
I:- 4L
SC CIP
� rt�5
38 ¢� 3•,
a-�.
SL
4-'1U
Sec s.
_ r
J4 P
Description Initial Repair System Other Factors (1946):
System Site Classification (.1948):
Available S ace (.1945) Evaluated By:
System Typo(s) Others Present:
Site LTAR I,, • y