IPACHTE# '329-7 Harnett County Department of Public Health 28891
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�@� e PROPERTY LOCATION2: �� S C/�i�t�,_�� ✓tib
ISSUED TO �Gwrc oar Z �.tll_ SUBDIVISION �/r-e:O'i LOT # 7
NEW �— REPAIR 0 EXPANSION ❑ Site Impro mens required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System T pe:ZSc'10 Z= t�
Projected Daily Flow: y0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pum Required: es ❑ No Ma required based on final location and elevations of facilities
P 9 q
Type of Water Supply: ❑ Community Publj[ ❑ Well Distance from well feet Permit valid for: ive years
Permit conditions: ❑ No expiration
Authorized State Ag v Date: G --1�7 /6 SEE ATTACHED SITE SKETCH
The issuance of this permit by Health Department in no way guarantees 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 revocation 4 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 Pules 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, .1951, .1954, .1955, .1 9S6, .1951, .1959. 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: Z PROPERTY LOCATION: Zg )a
SUBDIVISION �rC—c — ✓> ,�1 LOT # 3
facility Type: M/New Expansion , ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2/14 o
Type of Wastewater System** 25% {'2$4%U z.� 64-A— (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
ZSe% (Repair)
Installation Re uiremel /Conditions Number of trenches
Septic Tank Size � L gallons Exact length of each trench /t S— feet Trench Spacing: feet on (enter
Pump Tank Size 120-V gallons Trenches shall be installed on contour at a Soil Cover. inches
Pump Requirements: IT, TDH vs.
Conditions:
Maximum Trench Depth of. ld7 160 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
1 inches below pipe
% inches above pipe
1.7, inches total
**If applicable: / understand the system type spelled is different from the type spelled on the application. / accept the spenlcalons a/this permit.
Owner/Legal Representative Signature: Date:
This Construction Auth aiutinn is sulma to revocation if the site nbm. out or the intended use thmr oet. The Contraction Authnn ,stam shall not be transferred when there it a than,@ 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. SEE ATTACHED SITE SKETCH
Authorized Sta ent: lc:� Date: G— Z5 49
Construction Authorization Expiration Date: G—Zf Z/
HTE# f (o -S- /
Permit # Z 8�f5 1
Harnett County Department of INiblic Health
Site shetch
PROPERTY LOCATON 472.!z�(= 3
ISSUED TO: SUBDIVISION / LOT #
Authorized State A nt: % � Date: I/ ZS fG
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: L.%? -'r Gb
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): k90
Location of Site: Property Recorded:
Water Supply: U Public[] Individua). ❑ Well
Evaluation Method:❑ Augei,Bo ing [,�' Pit ❑ Cut
Type of Wastewater: {Q 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.)
SOI. 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
Restr
Horiz
30-3 Z"eWL
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):15
Available Space (. 1945) Evaluated By:�
System Type(s)) Others Present:
Site LTAR S