IPACHTE# Harnett County Department of Public Health 28851
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Efw, 47-
ISSUED T9 ✓0hnl D��i
/k / SUBDIVISION I LOT # �—
NEW [� REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: E fDA-ijt.)
Proposed Wastewater System Type:
j5°
Projected Daily Flow: 160
GPD
Number of bedrooms:
Number of Occupants: Z max
Basement ❑Yes 9110
Pump Required: ❑Yes El No
��
E May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
❑ Public C✓f Well Distance from well 1610 feet Permit valid for. ❑ Five years
Permit conditions:
❑ No expiration
Authorized State ent:: c- Date: 5 - Te - l (r SEE ATTACHED SITE SKETCH
The issuance of this permit by Th Ith Department 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 u subject to revocation if th 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 provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The mnstuction and installation requirements of Rules .1950, .1953, .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: <I d hJ O IZ0 f in,, PROPERTY LOCATION: 14-W`l Z
SUBDIVISION LOT # �
Facility Type: Fs, !� Z New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes [, No
Type of Wastewater System" 1ZR t/cA-Z4--s— (Initial) Wastewater Flow: /m GPD
(See note below, if applicable ❑)
7-5- Licfla-1 y (Repair)
Installation Requirements/Conditions Number of trent es /
Septic Tank Size 4 o e o gallons Exact length of each trench i Za feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth oL• /8 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. inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
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.
G inches below pipe
7 inches above pipe
17 inches total
**If applicable: / understand the system type spelled is different from the type roeciled on the app/icadm. / accept the speedinanonr 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 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 )tt Al InlntV alit )RC Il.m
F
orized State Age Date: -5-S-
Construction Authorization Expiration Date: 5r- - 2/
NTE# I(�"'S--5 S'—' y Permit # 238 5' -
Harnett County 1)epailment of Public Health
Site Sketch
_ PROPERTY LOEATON:
ISSUED TO: SUBDIVISION LOT # 2
Authorized State Aged-� Date: - G —/ J�l
G
Ur
J
' J7 Y2
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: D /W I —
Address: Date Evaluated:
Proposed Facility: Y3/}µ_ Design Flow (1949)1
Location of Site: Property Recorded:
Water Supply:�,/ ❑I�ic❑ Individual El Well
Evaluation Method:E Auger Rotting ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot M
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structural
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Dekth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
G
4-y%
scc,t�-P
3d"9"
3
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): r�
Available Space (.1945) Evaluated By;/7)
System T e(s) Z,6 -"--x Others Present: 1011—
Site LTAR • 3 • 3