IPACNTE# 3g'/:,�j Harnett County Department of Public Health 28866
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
1' / -- laePROPERTY LOCATIONPY—M � r9rl&-�
ISSUED TP, tad (�R !*�5 3d
U1a 4 Ula� SUBDIVISION �l-71GS���� 4c�— LOT # L�
NEW 96 REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z
Projected Daily Flow: L4 E0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 02'N
Pump Required: ❑Yes ❑ Nots3"Ma a required based on final location and elevations of facilities /
Type of Water Supply: ❑ Community Public El Well Distance from well Net Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized Stat en �a �s L /" Ls�1 Date: S —ZV L (. SEE ATTACHED SITE SKETCH
The issuance of this permit Health Department in now 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 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 on 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 .1950, .1952, .1954, .1955, .1956, .1951, .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: ie +moi D»iCa IE�Ladgc;? PROPERTY LOCATION: 3'XJ4"t!j 411=Q-).5 -I-*)
/
SUBDIVISION iT'`{.a 3 ✓Pet—sem LOT # I
Facility Type: ��� I3 New Z Expansion ❑ Repair
Basement? ElYes No Basement Fixtures? El Yes L✓I No
Type of Wastewater System** 2"Zi�� �bt ►Zrt_ (Initial) Wastewater Flow: '4096 GPD
(See note below, if applicable ❑)
Z �
Fi%�rii I L—P P R kp *-- (Repair)
Installation Requirements/Conditions
Number of trenches —�
Septic Tank Size 0
� gallons
Exact length of each trench on feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of.. ZZ—9 1A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Sparing: --2—Feet on Center
Soil Cover: 4 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.
inches below pipe
Inches above pipe
inches total
**If applicable: / ondeatand the rystem type spec/led is different from the type speriled on the application. / accept the rpedhcationr o1 this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation it 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. Ht nl Ifllf[CtA allC )RC1cn
Authorized StaDate: 5 - 24 J6
Construction Authorization Expiration Date: 5e--2,& 'Z4
HTE# 381 -sq Permit # 2S8C-(o
Harnett County Department of 1'nblic Health
Site Sketch
ISSUED TO:
PROPERTY LOCATON: fs s s 0—k!,
SUBDIVISION LOT # J_
Authorized State
Date: S=2Y6 -/`
L�� Vsl►�+c� � �
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:' -7
Address: Date Evaluated: S
Proposed Facility: 5'� Design Flow (.1949): Y2b
Location of Site: ,-,,i Property Recorded:
lel
Water Supply: --,,� Public❑ Individual El Well
1
Evaluation Method: [4tiger 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
Wetness/
Color
.1943
Soil
Depth ]N)
.1956
Sapro
Class
.1944
Restr
Horiz
Q
74.
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): S
Available Space(. 1945) Evaluated By:
System Type(s) Others Present: Vy/
Site LTAR