IPACHTE # /I, 7 Harnett County Department of Public Health 28864
Improvement Permit
A building permit cannot he issued with only an Improvement Permit
? PROPERTY LO[ATION�J44$
ISSUED T4��G� 4( Uif S UUZ� , .,0 SUBDIVISION a LOT # _�
NEW - REPAIR ❑_ EKPANS _❑ Site Improvements required prior t Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System' 'T�e�: Z50A CA
Projected Daily Flow: GPD
Number of bedrooms: �'J+/ Number of Occupants: max
Basement 0Yes2 No ��
Pump Required: ❑yes ❑ No [ M be required based on final location and elevations of facilities �
Type of Water Supply: El Community f Public 1:1 Well Distance from well feet Permit valid for. E2 Five years
Permit conditions: ❑ No expiration
Authorized State AgeRt� Date: 5 —�—t (o SEE ATTACHED SITE SKETCH
issuance of this permit th Health Department in mi—
The 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 a 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, .1952..1954, ASS, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordou
with the attached system t
Jstem layout. q
ISSUED TO: ,Cde.., U ��d�.G PROPERTY LOCATIOVRAWRA--% -% <L
Q ® SUBDIVISION r� LCI LOT #
Facility Type: New /Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes IFd No
Type of Wastewater System** ,,
(See note below, if applicable ❑)
Installation Requirements/Conditions Number of Frenches
Septic Tank Size / Llly gallons Exact length of each trench b feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2,g inches
(Trench bottoms shall be level to +/-I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: I GPD
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 LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
4�e'— inches below pipe
inches above pipe
inches total
**If applicable: / understand the s}rMm type specified is different fmm the type specified on the application. / accept the specihwionr 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 them 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 in the conditions of this permit. att AI ift"tu slit aRC16n
Authorized Stategent: Z Date:
=f Construction Authorization Expiration Date:
NTE# 386'87 Permit # 288G Y
Harnett County Department of Public Health
Site "ketch
ISSUED
Authorized
PROPERTY LOCATON: S
SUBDIVISION LOT # 1
70- e
Date:
a
�tf��SJ%1�� CeuJ
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:?2�7/t r"
Wf
Address: Date Evaluated:
Proposed Facility:
>4e -t>
Flow (.1949):
Location of Site:,,..._.,,�� Property Recorded:
2 i
Water Supply: ,�� Public❑ El Well
Evaluation Method:[3 Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ ewage ❑ Industrial Process
Sheet:
Property ID:
Lot M
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
4
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
Sapm
Class
.1944
Restr
Horiz
Description Initial Repair System Other Factors (1946): r
S stem Site Classification (.1948):
Available Space (. 1945)Evaluated By:
System Type(s) Zb Others Present:
Site LTAR 'rY