IPACHTE# S -319)G I Harnett County Department of Public Health 28876
Improvement Permit
A building permit cannot be issued with only an Improvement Permit � �t
PROPERTY LOCATIOf�7 13-1 (*o_ 4L
ISSUED TO S 4^sC t 1 B�t�eQp�< Z.�L SUBDIVISION J - j��r,� . �t LOT # TO
NEW [j REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFA
Proposed Wastewater System Type: 25-% X--_*�VGxLjQ
Projected Daily Flow: 31w D GPD
Number of bedrooms: Number of Occupants: (_max
Basement ❑Yes
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ No Q Mray be required based on final location and elevations of facilities
❑ Community M Public ❑ Well Distance from well Net
Permit valid for.
Rlhve years
❑ No expiration
Authorized State APR __ Date: ie --7' [(� SEE ATTACHED SITE SKETCH
The issuance of this permit by jh'e 1 alth Department in no way guarantees the ismance 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 h 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 am incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED T0: Sl'RwGr�l Rurddc�es PROPERTY LOCATION: X143'7 aSnl la.v..Q !ZA
SUBDIVISION��t dcl. — r or.� f LOT #
Facility Type:51' New 11Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 9 No
Type of Wastewater System** IS°/a72asv">o cS—i4-`— acs ihA.— (Initial) Wastewater Flow: 3&0 GPD
(See note below, if applicable ❑)
L Stlz, %fin
Uz S %r�� 64"'? (Repair)
Installation Requirements/Conditions
Number of trenches Z
Septic Tank Size / da 0 gallons
Exact length of each trench /S-0 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: Z !I ' inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (L TDH vs.
GPM
Conditions:
Trench Spacing: 4? Feet on Center
Soil Cover: 1_'— 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.
4 inches below pipe
inches above pipe
inches total
**If applicable: / understand the ryrtem type rpea6ed it different from the type rpedfed on the app/itaban. / acrept the rped5irwionr of this permit
Owner/Legal Representative Signature: Date:
This Conswccon Authorization is subject to revocation if the site plan, plat, or the intended use changes. The construction Authorintion 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
Authorized State Apnrt..� ex /" (l1, 7� 51� Date:
—ib
SEE ATTACHED SITE SKETCH
Construction Authorization Expiration Date: G — i — 2-1
HTE# I& 5-- 35-7 61 Permit # Z !3 0-7 L
Harnett County Department of Public Health
Site Sketch
� •-- PROPERTY LOCATON� /`/57 C�
ISSUED TO: S! .U�%L� U SUBDIVISION LOT # 5-n
Authorized State
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: -,Tyv
Address: Date Evaluated:
'=[�i
Proposed Facility: Design Flow (.1949):0
Location of Site: Property Recorded:
Water Supply: ❑'Public❑ Indivi4g, ❑ Well
Evaluation Method:❑ Auger Boring Q Pit ❑ Cut
Type of Wastewater: R 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
Minmlqp
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Roar
Horiz
-yt
f5 t.s-
3L �.
5
'L
7
d-)8jf
u G.t-v�.tnti.(r
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space( 1945) Evaluated By:
System Type(s)) Others Present:
Site LTAR