IPACNTE# Harnett County Department of Public Health 28871
Improvement Permit
�// A building permit cannot be issued with only an Improvement PePROPERTY rmits _ p
ISSUED TO: (_11.a__�Lnn�o S SUBDIV S ON CATION: ��/03 I -7l ltsia_� LOT #
NEW I' REPAIRQ- EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
R
Type of Structure: }— J
Proposed Wastewater System Type: Z T 4. R E7*.')
Projected Daily Flow: 4`S4=a GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes PrNo
Pump Required: ❑Yes ❑ No Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well Feet
Permit conditions:
Permit valid for.
u rive years
❑ No expiration
Authorized State ' — Date: 6 - /-1b SEE ATTACHED SITE SKETCH
The issuance of this permit Oe Health Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. 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, .1955, .1956, .1957, .1950. 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: PROPERTY LOCATION:, �r1fJ �n
SUBDIVISION LOT #
Facility Type: New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes AND ,p
Type of Wastewater System** -Z S'Z (initial) Wastewater Flow. �� GPD
(See note below, if applicable ❑)
f(�p (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size /ZoD gallons
Pump Tank Size )200 gallons
Pump Requirements: (t. TDH vs.
Conditions:
Exact length of each trench ASo feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 27 -> tg inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 72 inches above pipe
'4 /L inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l understand the system type specified is di/ferrnt from the type specified on the application. / accept the spec/ficet/ans 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 tnmlerred 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 att AI IAlnt17 Nlt =11.111
Authorized State + Date: 4 , /' A'
Construction Authorization Expiration Date: G -f - L/
HTE# 3254k7 Permit # Z887!
r Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON
ISSUED TO: 61-4� 5-� ��j�. SUBDIVISION O LOT #
Authorized State A t't Date:
A
Ill
:;��S774 l
(c�C.✓�"CsJ S
K(f�
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: ot_. ao AP4 `
Sheet:
Property
Property ID:
Lot #:
File #:
Code:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site:Property Recorded:
Water Supply: Public❑ Individual ❑ Well ❑ Spring
Evaluation Method: [2-70—g—er Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑. Sewage ❑ Industrial Process ❑ 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 W.
.1956
Sapm
Class
.1944
Restr
Horiz
t•)
401
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dt
1,r+bv.r
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iw 1
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Description Initial Repair System Other Factors (.1946):
System Site Classification ): �S
Available S ace (.1945) Evaluatedted By:
System Type(s) Others Present:
Site LTAR