IPACHTE# 41-5-13112 Harnett County Department of Public Health 28953
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: YJ / V Lt /3Gucc �h + Sr i
ISSUED T SUBDIVISION LOT #
NEW lir REPAIR 0 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ZVI& 22;�e t' uWt
Projected Daily Flow: 34p GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 121' No
Pump Required: ❑Yes ❑ No IS�MjYlbe required based on final location and elevations of facilities
Type of Water Supply: El Community L>d Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
❑ Five years
❑ No expiration
Authorized State Agent—;—, r, Date: I — / Yi — / (' SEE ATTACHED SITE SKETCH
The issuance of this permit b m 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 m rcrocation site plan, Slap 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 .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 arc incorporated by references into this permit and shall be met. Systems shall be installed in accordance
With the attached system layout.
ISSUED TO:PROPERTY LOCATION: �!3c /'f3 L/ /—'Cvj� 5-6J7-- --rz-b
SUBDIVISION 'Jo 4ws—r LOT #
Facility Type: 577 C N w ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ET �No
Type of Wastewater System** 2�— 2a-. M��^ �-- ,< i-tr — (Initial) Wastewater Flow: '56 0 GPD
(See note below, if applicable ❑)a
_
T�� �4S`it7-,_ (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size ! ° gallons Exact length of each trench 225 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: / B inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: —ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: T inches above pipe
L inches total
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.
**If applicable: / understand the system type specified is different from the type specified on the app/icadon. / accept the spedhcationr o/ this permit
Owner/legal Representative Signature: Date:
This Construction Anamrintian is su6act m nevo ation if the site than. nlae or the intended use rh.noet. The fomtrurtion Amtlmrhation doll not he mr f,rred when there is a rhanoe in ownershio 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. 5tt AI IALlitU 51I1: 5Rt11.H
Authorized State Agetlt: " �, z `� / Date: "> — 19,-- 6 (
_
�, Construction Authorization Expiration Date: 7—/9 vl
HTE# Z(, -,,s---390&2,
Permit # 2-955-3
Harnett County Department of Public Health
Site sketch
PROPERTY LOCATON:,5�fJC/?t( % vG/ LGA --)So,-_ /4.6
ISSUED T0:fi�ls�r��eti �_ SUBDIVISION JUh LOT # °/D
Authorized State ent G f/--�Date:
��
3°
5w -v tH'-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 67-4— (2^1,,_
Address: Date Evaluated:
Proposed Facility: �J.� Design Flow (.1949): 342-D
Location of Site: Property Recorded:
Water Supply: �,! Public❑ Individual ❑ Well
Evaluation MethodrLl auger Boring ❑ Pit ❑ Cut
Type of Wastewater: J2 -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
7—
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
Sapro
Class
.1944
Restr
Honz
i
L-�4
0 �Z
s
n
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): I>s
Available S ace (.1945) Evaluated By:
§y stem T s K Others Present:
Site LTAR , 4