IPACHTE# 1(Q -s 387/06 Harnett County Department of Public Health 28875
Improvement Permit
A building permit cannot he issued with only an Improvement Permit
�I I q f TIPROPERTY LOCATION: 7,B�ll�aa�wQ.�
ISSUED TO- k�-d.9
/O• _F ozJ-VG SUBDIVISION %4i(4e� LOT # i
NEW Ly REPAIII ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Jk�
Proposed Wastewater System Type: ?"S'OZ Q)R-kftSLtt1J
Projected Daily flow: GPD
Number of bedrooms:Number of Occupants: (0 max
Basement []YesN o /
Pump Required: []Yes❑ No E2/M be required based on final location and elevations of facilities
Type of Water Supply: ❑Community VrPublic ❑ Well Distance from well feet Permit valid for. C(Five years
Permit conditions: ❑ No expiration
Authorized State ' Date: C. — —] — l (o SEE ATTACHED SITE SKETCH
The issuance of this permit Mealth Department in no way guarantees the ismana of other permits. The permit holder is responsible for checking with appropriate gumming 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 .1958, .1951, .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
ISSUED TO: ZdAc I Rvc/�T� PROPERTY LOCATIONZ7XLY- 7
SUBDIVISION LOT At T
facility Type: Sr D 2� New ❑ Expansion ❑ Repair
Basement? ❑ Yes 19 No Basement Fixtures? ❑ Yes 1hNo
Type of Wastewater System" 2-"4 -JA'nf:'. n ["G (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
7 -*x [L3A tan u 7a L up to (Repair)
Installation Requirements/Conditions Number of trenches z
Septic Tank Size 1604- gallons Exact length of each trench 11D feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Zq inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: / Feet on (enter
Soil Cover. �_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE 10FT. 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
1— inches total
**If applicable: / understand the ryctem type rpedfed it different from the type tpedfined on the application. / accept the rpedfcatioar of this permit
Owner/Legal Representative Signature: Date:
This Construction Authonzatum is subject to revomtion 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
Construction Authorization is subject to compliance with the previsions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State�lg___ ��% Date: 6'77 -IL
Construction Authorization Expiration Date: G --7 - Z1
HTE# / S 3676b
Harnett County
Permit # Z�S—/
Department of 1"ublic Health
Site Sketch
/ PROPERTY LOCATON:1 " V3- v��
ISSUED TO: l l ✓ir�!..1,e �r i mil k--5:7 QUBDIVISION LOT # `{
,��
Authorized State epS; wcDate:
li0fl o
U
SX��t
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: ry r v (. ,L -( b
Address: 1` Date Evaluated:
Proposed Facility: 1pc� Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: DPublic❑ Individual ❑ Well
Evaluation Method:[] Auger Boring [Pit ❑ Cut
Type of Wastewater: 13'$ewage ❑ 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 IN.
.1956
Sapro
Class
.1944
Rear
Horiz
11 3
2 'l.
L
8- `Id
SCrr
f j131�5.('
3 ,t
Z
L.
u- t 9
TL
(� y
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Z V Evaluated By:
System Type(s) Others Present:
Site LTAR