IPACHTE#Harnett County Department of Public Health 28869
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: S3S
ISSUED TO- A)1s��gN� -'W-03h P-3 SUBDIVISION LOT #
NEW f� REPAIR ❑ EXPANSION ❑
Type of Structure:
Proposed Wastewater System Type: -'eW�A L
Projected Daily Flow: 4 i✓o GPD
Number of bedrooms: 4— Number of Occupants: g max
Basement Oyes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No 13 Ma a required based on final location and elevations of facilities
Type of Water Supply: El Community lblic ❑ Well Distance from well het
Permit conditions:
Permit valid for.
W Five years
❑ No expiration
Authorized State < < ! bate T— 7--7— /(9 SEE ATTACHED SITE SKETCH
The issuance of this permit b& Health 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 if 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 .1950, .1952, .1954, ASS, .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:/ ILrae boji„)t_wy jr4 ri-2hPROPERTY LOCATION: '5�S380%- ,6A17teZ
SUBDIVISION LOT #
Facility Type: Q NewExpansion ❑ Repair
Basement? ❑ Yes 2f No Basement Fixtures? ❑ Yes E- No
Type of Wastewater System"" 25576%Z '�l! 2tcs7-AL (Initial) Wastewater Flow: yJ+—) GPD
(See note below, if applicable ❑)
2� A—dov L2r. (Repair)
Installation Requirements/conditions Number of trenches 3
Septic Tank Size 12469 gallons Exact length of each trenc' feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of 241 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
inches below pipe
Aggregate Depth: 2 inches above pipe
.12— inches total
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.
**If applicable: / undeatiri the system type speciled it different from the type stiedled on the app/kation. / accept the spedficatiotts 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 then is a change in ownership of the rice. This
constmcbon Authonaation is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Stt AI IALMRU Slit SRtILN
Authorized State Date: s -2-7"z (�
Construction Authorization Expiration Date: t —Z!I-ZI
HTE# Jl —S— 3863 Permit# 298Z�j
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: `dC 1538 rK.rS,<< 2*,ISSUED T0: /YL� tt5 �% �yY�(F STyurf .l SUBDIVISION LOT #
Authorized State Age `�� Date:
to)
Al
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 'S
—7b1 1
Address: Date Evaluated: S'u' i–
Proposed Facility: Design Flow (.1949): CC 2,r]
Location of Site:r�y� Property Recorded:
E
Water Supply: FubliC❑ Individual ❑ Well
Evaluation Method: ❑ mer Boring ❑ Pit ❑ Cut
Type of Wastewater: ,,, Z 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
& LIAR
.1941
Structure/
Texture
.1941
Consistence
Minentlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth 1N.
.1956
Sapro
Class
.1944
Rear
Horiz
(
T -M
L__
n- 21
SL
w
2.3
L_
IL
n
Description Initial Repair System Other Factors (.1946):
system Site Classification):
Available Space (.1945) Evaluatedted By:
System Type(s)7) 7 tYs' Others Present:
Site LTAR