IPACHTE#JIo' S 3%UUL/ Harla%;ct County Department of Public aer alth 28956
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
,/ � ' PROPERTY LOCATION: YZ5'
ISSUED TOy(�4/ eI ���s/�is!/ti o SUBDIVISION LOT #
NEW fiti � REPAIR ❑�7� EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 59`1>
Proposed Wastewater System Type: 2--Va 6 of
Projected Daily Flow: e CYIi GPD (�
Number of bedrooms: Number of Occupants: C max
Basement ❑Yes 0 No
Pump Required: ❑Yes ❑ No f.1 M be required based on final location and elevations of facilities ��
Type of Water Supply: El Community Public El Well Distance from well feet Permit valid for. lit Five years
Permit conditions: ❑ No expiration
Authorized State Ag ✓ " z` Date: SEE ATTACHED SITE SKETCH
The issuance of this permit a Health Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation 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 .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall he installed in accordance
with the attached system layout.
ISSUED TO: 4ti[,'J.) 6) PROPERTY LOCATION: L
/ SUBDIVISION LOT # f�
Facility Type: _� Lf" New CY7 Expansion ❑ Repajr
Basement? ❑ Yes 19 No Basement Fixtures? ❑ Yes 9 No
Type of Wastewater System*" 75`�6126j-)uc.G4r/L.. (Initial) Wastewater Flow: Y90 GPD
(See note below, if applicable ❑)
Z o /M>v (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench 30 d feet
Pump Tank Size / o o gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ZZ. inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: -ft. TOM vs. GPM
Conditions:
Trench Spacing: 7_ Feet on Center
Soil Cover.._ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
�i inches below pipe
Aggregate Depth: Z inches above pipe
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 / understand the system type specified is different Jrom the type specified on the application. / accept the specifications olthis permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject in revocation if the sire plan, plat or the intended use (hanger. the Canswttibn Authoriation shall not 6e tnnshmd when there is a ckange in ownership of the site. This
eonsnrnon Aumonzamon 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
��it�
Authorized Stat ant: Date: —7"
Construction Authorization Expiration Date: _ 5 —
HTE# 1f -S- 3900 Permit # 2105 SCS
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: // ' Z16ISSUED T0: N rn— SUBDIVISION LOT # �P
Authorized State Ag S Date: 7—/S—
J/
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Department of Environment, Health and Naturr sources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: jv
"
Address: Date Evaluated: Z'Z�(�
Proposed Facility: '�7v f- Design Flow (.1949): vne
Location of Site: Property Recorded:
Water Supply: ❑ Pubfiic❑ Individual ❑ Well
Evaluation Method:❑ -Auger Boring Q'Pit ❑ Cut
Type of Wastewater: a Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
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
Salim
Class
.1944
Restr
Horiz
6- f(,
Sc
f)
r
3
t/
w
z �
Description Initial Repair System Other Factors (1946):
system Site Classification (.1948): S
Available Space (.1945) / Evaluated Byt✓
System T e(s) S Z s �- Others Present:
Site LTAR