IPACHTE# Harnett County Department of Public Health 28853
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:�7-n S x,✓ 4,cnz C 1//,.« /f%,
ISSUED TSUBDIVISION LOT # 14 A
NEW L� REPAIR q' EXPANSION ❑
Type of Structure: S F b
Proposed Wastewater System Type: S%L
Projected Daily Flow: 3Cu U GPD
Number of bedrooms: 3 Number of Occupants: Cv max
Basement []Yes /7F—NO
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Yes ❑ No ❑ My be required sed on final location and elevations of facilities
Type of Water Supply: El Community Public required
Distance from well /00 r feet
Permit conditions:
Permit valid for.
N Five years
❑ No expiration
Authorized State Ag " t: — � > ' LsA-.t ;tF �- - Date: 4s,- 'S - I f= SEE ATTACHED SITE SKETCH
The issuance of this permit by thalth Department in no way guarantees the issuance of other permits. The permit holder is responsible for decking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation iI th 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 insulation 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 accordance
with the attached system layout
ISSUED TO: PROPERTY LOCATION:/( 1i35-_A/J-Ajn1 Ghc*///cGtiF /?-�
r' SUBDIVISION LOT # 13
Facility Type: [3/ NewExpansion F-1Repair
Basement? 1-1Yes No Basement Fixtures? 11 Yes S /o
Type of Wastewater System** —Z�la 7�6 :�(/ C -A -t" Sys f6, (Initial) Wastewater Flow: 3 &d GPD
(See note below, if applicable ❑) d
Z b A 1� 64 W 5-4s(4� (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /000 gallons Exact length of each trench too feet
Pump Tank Size 1060 gallons Trenches shall be installed on contour at a
Maximum Trench Depth oL 7-7--" /g inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: 9 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 LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
1
inches below pipe
7 inches above pipe
/ Z inches total
**If applicable: / understand the system type speciled it different from the type speziled on the application, / accept the rpeAcanitar 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 twittered when there is a change in ownership of the sire. This
construction Authoriaation is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit btt AI IALNED MIt )Rt ILN
Authorized State Agebt•—�,- ism = i �'� S Date: 'S- r%
Construction Authorization Expiration Date: Y -L/
HTE# `, 3 9 2 Permit # Z 8�8) 5 3
Harnett County Department of Public Health
Site Sketch
L PROPERTY LOCATON:6Cr7:3T e G/ 9Z
ISSUED TO: ZA /cam SUBDIVISION LOT # _
Authorized State Agent-,; — i GA Date:
,r.. • +.-
v3
1 � I
I I
W
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: SK"�4"`5 - 16
Address: Date Evaluated: 6"
Proposed Facility: Design Flow (.1949):,3�D
Location of Site: Property Recorded:
Water Supply: [aPubliC❑ Individual ❑ Well
Evaluation Method: aAuger Boring ❑ Pit ❑ Cut
Type of Wastewater: [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
Wemesst
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
2
S
3'L
L
d'1Z
St.
tG.r-6,c.aawsi
)2-Y4
5L-C�
IsE+�.s. (�•
3436•a�
3
N
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): t�j
Available Space (.1945) i Evaluated By., -1
System Type(s) s•'z S Others Present: (f
Site LTAR 3 -.7