IPACHTE# Ile 'S —39os� Harnett County Department of Public Health 28955
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION Z- 'As2wEXE, AL.0J
ISSUED T0: A2t,e d 6,2-4. ,6tc SUBDIVISION LOT #
NEW Dal REPAIRf EXPANSION ❑ Site Impr ements required prior to Construction Authorization Issuance:
Type of Structure: S
Proposed Wastewater System Type: 25'10
Projected Daily Flow: 4 $ b GPD
Number of bedrooms: Number of Occupants: 49 max
Basement []Yes
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ No bd Ma a required based on final location and elevations of facilities
❑ Community f Public ❑ Well Distance from well feet
Permit valid for.
Five years
❑ No expiration
Authorized State ii 41&AftDate: i 1 `1 — I (� SEE ATTACHED SITE SKETCH
The issuance of this permit the alth 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 m revocatia 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 u 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, .19S7, .19S4, .195S, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
wish the attached sysystem, layout
ISSUED TO: PROPERTY LOCATION:
SUBBOIVISION _ LOT # (,
Facility Type: C✓J New y Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Lrr No
Type of Wastewater System"2�/o I�r�V 15'ib1� ��si Ps, _ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
ZSR, i 2f� DsJ uz�at ' If'&- Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size v gallons Exact length of each trench too feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. �_ inches
Maximum Trench Depth of: ZO r t inches (Maximum soil cover shall not exceed
(Trench bottoms shall he level to +/.1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
Z inches above pipe
/Z inches total
"If applicable: / understmld the system type spidged is different Imm the type spedfed on the app/icmim.. / adept the specArrtiom of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization 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 permit att AI IAIntU 5111t aRtlln
// Date: �2 9
Authorized State enC & 4, �.r L/'—'
/ Construction Authorization Expiration Date: lE—Z/
HTE#
Permit #
2 55'3--sr—
Harnett County Department of Public Health
Site Sketch
PROPERTYLOCATON: /Y2 -5 RL
ISSUED TO: Wa�.� C61 3yywt i af— SUBDIVISION
�LOT # t�
C . /ice
Authorized State Aeats—i�;�1�+--� J�lf�,l Date: —7— 1
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: Wye--"
Address: Date Evaluated: �`1�It�
Proposed Facility: '�" '� Design Flow(.I949).'tyo
Location of Site: Property Recorded:
Water Supply: glublic❑ Individual ❑ Well
Evaluation Method: 0 AugerrBo�ring � Pit ❑ Cut
Type of Wastewater: u Jewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
OOTHER
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mincralon
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapm
Class
.1944
Restr
Horiz
Z
L—
U-ISn
�
c rx1+ P
Description Initial Repair System Other Factors (.1946):
System / Site Classification (.1948):
Available Space( 1945) Evaluated By:
System Type(s) Others Present:
Site LTAR /