IPACHTE# /1—'5-3P�Harnett County Department of Public Health 28865
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONC9c./ k4 A M
ISSUED�TO/:48,'44 �dt �C3V3Jc «r^L �aacwn SUBDIVISION M LOT # 2—
NEW LS REPAIR EXPANSIO ❑ T Site Improvements required prior to onstmction Authorization Issuance:
Type of Structure: or eJ
Proposed Wastewater System Type: Z` Zi2$iYL1CXLdti.>
Projected Daily Flow: `F Pia GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes WNo
Pump Required: []Yes ❑ No Ma a required based on final location and elevations of facilities �//
Type of Water Supply: ❑ Community f�blic El Well Distance from well feet Permit valid for. L hve years
Permit conditions:
❑ No expiration
Authorized Statee(���1(�� Date: - '—Z& /h SEE ATTACHED SITE SKETCH
The issuance of this permi Nealth 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 m revocation d 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, .1957, .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 �I-��h,w�� �
ISSUED T0: 4dC/r�-a ( � r� PROPERTY LOCATIONy� !6
SUBDIVISION 1 LOT #
Facility Type: L!f New 11�/ Expansion ❑ Repair
Basement? ❑ Yes EK No Basement Fixtures? ❑ Yes LYJ No
Type of Wastewater System** _
(See note below, if applicable ❑)
Installation Requirements/Conditions
Septic Tank Size gallons
Pump Tank Size gallons
"Humber of trenclKs ";s
Exact length of each trench foo feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Z— inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: 148y GPD
Trench Spacing: Feet on Center
Soil Cover. �nches
(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.
inches below pipe
Z- inches above pipe
;Z inches total
**If applicable: / understand the ryrtem type rpeah"ed it different Isom the type rpec/fied on the app/intron. / accept the rpedfcanonr o/thir 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
frustration Authonzation is subject to compliance with the provisions of the laws and Rules for Sewage Treatment yd Disposal and to the conditions of this permit )Lt AI IALMtU )Ile MILE!
Authorized Statent:
Construction Authorization Expiration Date: �a
HTE#./%' :5- 3gsbb Permit # 299419' -
Harnett
sHarnett County Department of 1"ublic Health
Site Sketch
ISSUED TO:
Authorized
PROPERTY LOCATONiSOVA 410P3 A
LOT # L
Date:
� "� S Vrll, e, C&v
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): Y�
Location of Site -Property Recorded:
Water Supply: _ Public❑ Individual ❑ Well
Evaluation Method:[2-Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Q --sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
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
W.
.1956
Sapro
Class
.1944
Rem
Horiz
Description Initial Repair Syst Other Factors (.1946)-
System
946):S stem Site Classification (.1948):
Available Space .1945 Evaluated Bya
S stem Type(s)=e) =eOthers Present:
Site LTAR