IPACHTE# 95 8 3 Harnett County Department of Public Health 28857
Imorovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION6.( fygl (- NLa
ISSUED TO, ( zip -7G— SUBDIVISION 444t�zlG / r U LOT #
NEW Ef REPAIRS EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: r'
�T J
Proposed Wastewater System Type: 2457%
Projected Daily Flow: —It b GPD
Number of bedrooms:Number of Occupants: max
Basement []Yes
Pump Required: ❑Yes ❑ No ❑ Maybe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community C9' Public ❑ Well Distance from well het Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State ent Date: gam- f( —.(( SEE ATTACHED SITE SKETCH
The issuance of this permit4 e Ilealth 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 is subject to revocation i the 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 construction and installation requirements of Rules .1958, .1951, .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 T0: �6 PROPERTY LOCATION:�yIdo/%
SUBDIVISION LOT(A
facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System' 2S% ?ZS-Ov t+14)Q > 55t45(yan, (Initial) Wastewater Flow: S6% c) GPD
(See note below, if applicable ❑)
I (1 rte+ V ZtSTart (Repair)
Installation Requirements/Conditions Number of trenches -ti
Septic Tank Size / •d*> gallons Exact length of each trench lid feet
Pump Tank Size a eoeJ gallons Trenches shall be installed on contour at a
Maximum Trench Depth of Lo—y fG inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM 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 10FT. 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
/l inches total
**If applicable: / understand the system t}pe spe6fed is different Imm, the type sped§ed on the app/ication, / accept the speci6caGams of thiJ 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 transfemd 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 SEE ATTACHED SITE SKETCH
Authorized State ent:te:
LZConstruction Authorization Expiration Date: S--/6 :4e4_
HTE# /L- S = 8.38 3 Permit # Z a t 5-7
Harnett County Department of 1'ublic Health
Site Sketch
PROPERTY LOCATON: nVL/Nk / czgn4 , xe_,M_ '
ISSUED TO:SUBDIVISION 4-N kLOT #
Authorized State
2
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: 6 D - _—
Address: �/'y� Date Evaluated:
Proposed Facility: !Il`�f� Design Flow (.1949):7
Location of Site: Property Recorded:
Water Supply: ❑1rublic❑ Individual ❑ Well
Evaluation Method: ger 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
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapm
Class
.1944
Restr
Horiz
"Mineralogy
r
er
A '37.
f%i./ OrP-f1�,�
sD
�G 't
3
S
•�
3 flet
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): �� 5
Available Space(. 1945) / Evaluated By: L1�
System Type(s)) Others Present:
Site LTAR