IPACHTE#Harnett County Department of Public Health 28896
Improvement Permit
A building permit cannot be issued with only an Ire rp ovementtPerm t
/�� /f PROPERTY LOCATION: �� ( r2
ISSUED TO• Cs _Xa�l.(!� SUBDIVISION LOT #
NEW Ed REPAIR ❑ EXPANSION ❑
Type of Structure:
Proposed Wastewater System Ty e.-
Projected
:Projected Daily flow: GPD
Number of bedrooms: Number of Occupants: max
B ❑Y N
Site Improvements required prior to Construction Authorization Issuance:
asement es o
Pump Required: []Yes ❑ No 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. Eline years
❑ No expiration
Authorized State s Date: Ca- !3s—is Lo SEE ATTACHED SITE SKETCH
The issuance of this permit the H th Department in no way gu meas the issuance of rather permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement, This
site is subject to revoatio me 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 in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .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 T0: Zec Ski �/ PROPERTY LOCATIONA(—, YZ
SUBDIVISION 0 LOT # C- Z
Facility Type: IZ NewExpansion ❑ Repair
Basement? ❑ Yes Ed No Basement Fixtures? ❑ Yes 2 No
Type of Wastewater System`* (Initial) Wastewater Flow: -3(:e-O GPD
(See note below, if applicable ❑)
24M (Repair)
Installation Requirements/Conditions Number of trenches 5 -
Septic
Septic Tank Size /&-0'7J gallons Exact length of each trench 6;aO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 18 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATIONS MUST BE LOFT. 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
47- inches total
**If applicable: / undeistand the system type rpedfed is different /rum the type speafined on the app/ication. / accept the spechficationr o/this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation it the site plan, plan, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the me. This
Constructor Authorization is subject to compliance with the provisions of the caws and Rules for Sewage Treatment and Di sal and to the consumers of this permit ltt AI IALMtD lilt 5KtILH
Authorized State Ag Date: G' l�iY GTo
Construction Authorization Expiration Date: a - M —V
HTE# Permit # Z 01911'6
Harnett County Department of Atblic Health
Site Sketch
` - / PROPERTY LOEATON:� 9 VZ
ISSUED TO: LeC .(�e1� SUBDIVISION LOT # s=�
Authorized State A /� (},✓ Date: (P - ZS -! C0
IfwyLrZ
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 1�
Address:,. I Date Evaluated:6-07'fb
Proposed Facility: 14 `rte Design Flow (.1949): 3(,,e)
Location of Site: Property Recorded:
Water Supply: [Public❑ Individual ❑ Well
Evaluation Method: Q--Xu_ger Boring ❑ Pit ❑ Cut
Type of Wastewater: [}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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth W.
.1956
Sapm
Class
.1944
Restr
Honz
17
f
L s�•<
o- Z'
1a-4
a
<3
Description Initial Repair S Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
S stem T e(s Others Present:
Site LTAR