IPACHTE#Harnett County Department of Public Health 28854
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�� n PROPERTY LOCATION: c'_
ISSUED TTOO- �� /Y i f 2L ` f�'Dil �� e C SUBDIVISION /'a 1p srrn_ �s�i s��S LOT # /�_
NEW L1 REPAIR ❑ �NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:r�
Proposed Wastewater System Type:-�—
Projected Daily Flow: 3 GPD
Number of bedrooms: Number of Occupants: max
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
13
fJ�M be required based on final location and elevations of facilities
Public ❑ Well Distance from well feet
Permit valid for.
L Five years
❑ No expiration
Authorized State AgeS: Date: S — — / SEE ATTACHED SITE SKETCH
The issuance or this permit by a Neal Department in no way gu nnmes 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 reroation if h�a 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 .19SO, .1951, .19S4, .1955, .19S6, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in acordan(e
with the attached system layout
ISSUED T0: -S /'J�4ia(' PROPERTY LOCATION:
SUBDIVISION �g # /! �- r_ sus LOT # 1t�
Facility Type: 5 r� G� New P/txpansion El Repair
Basement.? ❑ Yes No Basement Fixtures? ❑ Yes [WHo
Type of Wastewater System** _ "!7% 2 Q LZ-TL� (Initial) Wastewater Flow: Cmc GPD
(See note below, if applicable ❑)
7 -t ; -v 1?&;Ne4-7.— ;�yi 4f -= .(Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size / a a e) gallons Exact length of each trench / S 1�' feet Trench Spacing: y Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of Zlf719 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TDM vs. GPM inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: Sy �S Li i %�G / tl��� �7% . /Z inches total
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.
**If applicable: / understand the system type spelled is Aerent from the type speciled on the application / acrept the speciTications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Auth.6,.t,.n is suhied to revean o. if the site elan. plator the intended use h,me, The Censtru tmo Amhori,amm shall am Is, m.,bn.d whpn then e a rhino. in nwnenhin of the cit, Thi,
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 att AI IALHtU Nit MtII.B
Authorized State ent: l 1 J s - /
i
%' i �i .s ..- �" Date: S'' 6
Construction Authorization Expiration Date: 5 - - Z-/
HTE# Permit # ?$gS'y
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ;5� ZOO s
ISSUED T0: "hli44 ��1 dYl?�.71i�<. SUBDIVISION n%El i= 4y-� LOT #
Authorized State A¢em Date:
160 -sok 51 -?4.
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: Jrr-.he.
Address: Date Evaluated: S •L • 44.
Proposed Facility: Design Flow (.1949): 344
Location of Site:r�.y� Property Recorded:
Lt
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:[I-AugerBoring ❑ Pit ❑ Cut
Type of Wastewater: EI -Sewage ❑ 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 Qt.
.1956
Sapro
Class
.1944
Restr
Ho
L'
o -4
Sc-ci
F, I-vo t
y /V
SL_
6ir us MP
YY
,circ
I3ti__5 %
90-� �" 5a (
i 3�
z,3
4a
L-
b'Zv
S L
Cr
2n_4"
Ll 2' sru
N
Description Initial Repair System Other Factors (.1946):
System i Site Classification (.1948):7 5
Available Space(. 1945) Evaluated By:
System Type(s) Others Present:
Site LTAR