IPACHTE# 110-5-3883 Harnett County Department of Public Health 28888
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONS/ 7,24 '5— 114,,
ISSUED T SUBDIVISION LWIavu AC� L1LQ9z(,:ntn LOT # (a
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ;Y)e--b
Proposed Wastewater System Type. ti/1�7
Projected Daily Flow: 3 /o GPD /
Number of bedrooms: ;Public
Occupants: to max
Basement []Yes No
Pump Required: ❑Yes ❑ No required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Well Distance from well feet Permit valid for: Z Five years
Permit conditions: ❑ No expiration
Authorized State t: C� Date: L - Z4 —/� SEE ATTACHED SITE SKETCH
The issuance of this permit bye a H th Departmem in no way guaramees 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 myosaa on 5.16 rte plan, plat, su the intended use changes. The Improvement Permit shall not be affected by a change is 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..
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.
**If applicable: / undersand the system type rpedfed it different from the type speeiked on the app/iratioa / accept the rperilcadonr o/ this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. Be Construction Authorization shall not be transferred when then is a change in ownership of the site. This
constructions 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 At [RlntV 3111 rhtll.n
Authorized State rat• Date: TG
Construction Authorization Expiration Date: 5- �—
Construction Authorization
(Required for Building Permitl
The construction and installation requirements
of Rules .1958, .1951, .1951,
.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: �
/�► �-�
T-ss1 t- PROPERTY LOCATION:
f S L rb
SUBDIVISION
LOT # (o
Facility Type:
9/New Expansion ❑ Repair
AND
Basement? ❑ Yes No
Basement Fixtures? ❑ Yes
Type of Wastewater System**
ZS O/n 12&0V
69—t r%D c,s 4L's —
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
ZS l A
(Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Sizev' v e
gallons
Exact length of each trench 30c:s feet
Trench Spacing: Feet on Center
--�--Inches
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover.
Maximum Trench Depth of.. /L '/ inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4"
36" above the trench bottom)
in all directions)
4
Pump Requirements:
ft TON vs.
GPM
inches below pipe
nn�� / v 1
Aggregate Depth: Z inches above pipe
Conditions: AD/)
6
&I a1I&e76
12— inches total
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.
**If applicable: / undersand the system type rpedfed it different from the type speeiked on the app/iratioa / accept the rperilcadonr o/ this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. Be Construction Authorization shall not be transferred when then is a change in ownership of the site. This
constructions 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 At [RlntV 3111 rhtll.n
Authorized State rat• Date: TG
Construction Authorization Expiration Date: 5- �—
HTE# /( 38831
Permit # 2 os?) s
Hartnett County Department of Public Health
Site Sketch
/ q PROPERTY LOCATON: 224 rCe� drt¢�
ISSUED TO: �Ur� F✓! n1G�/�DY� 2�`K SUBDIVISION LOT #
Authorized State QezU Date: 6,'ZS —r(,
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: C a-- 6-9
17
Address:s Date Evaluated:
Proposed Facility: 4;b Design Flow (.19490
Location of Site:��,,Property Recorded:
L�
Water Supply: Pahlic❑ Individual ❑ Well
Evaluation Method:❑ ger Boring ❑ Pit ❑ Cut
Type of Wastewater: Q'gewage ❑ 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
iineralo
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Resn
Horiz
+t
L LQ
d• ��
4 LI+.—
�f
IIS•'
Description Initial Repair System Other Factors (.1946):
system,,-- Site Classification (.1948): v
Available Space(. 1945) Evaluated By:
System Typo(s)) Others Present:
Site LTAR