IPACHTE# 16" 51 3w -7 7 Harnett County Department of Public Health 28960
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 5c1yz7 /3!2rftiS GxG oL< 2,/)
ISSUED TO; -L � ��cS L�tJcicQe�c�j SUBDIVISION LOT # 3
NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: --5f-_�
Proposed Wastewater System T'Va IZ-CbvC�_1-d--3
Projected Daily Flow: �� GPD
Number of bedrooms: Number of Occupants: ax
Basement ❑Yes GrNo/
Pump Required: ❑Yes ❑ No fJ MjY'be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2 Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Ln rive years
❑ No expiration
Authorized State Ae4st --- Date: ' /— Z / —/ (,.:, SEE ATTACHED SITE SKETCH
The issuance of this permit b the aealth 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 reread i 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, .1953, .1954, .1955, .1956, .1957, .1956. 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: X7YCJe � J )f l S PROPERTY LOCATIONS /Y Z7 1�fM
SUBDIVISION LOT # 3
Facility Type: lj� New ❑ Expansion ❑ Repair
Basement? ❑ Yes N1 No Basement Fixtures? El Yes Gd�No
Type of Wastewater System** ��/l c✓ V (Initial) Wastewater Flow: C GPD
(See note below, if applicable ❑)
L -Ca- (Repair)
Installation Re uirem n Conditions Number of trenches
Septic Tank Sin gallons Exact length of each trench qQ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2-2- inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: ft. TDA 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 IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
`Z- inches total
*If applicable: /understand the rystem type specified is different from the type specified on the app/kation. / accept the speciiiinaoont of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization u 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 m the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized St4Agen ;%G° / Date: 17-21—i L
Construction Authorization Expiration Date: -� -2-i
HTE -3 =3 sol
Harnett County
Permit #
Department of Public Health
Site Sketch
PROPERTY LO(ATON: 9XJY27 k5,4v
ISSUED TO: ��Yli �C� S�/ SUBDIVISION LOT # 3
Authorized State Aim� � GJ �zi�.�l3 � Date: % ' -2-
L,-,,, 6 1'
V6T A-,�T,4
Z0
15
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): yQ�D
Location of Site:,� Property Recorded:
2
Water Supply: Puhlic❑ Individual ❑ Well
Evaluation Method: Eykuger Boring ❑ Pit ❑ Cut
Type of Wastewater: [3 -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
OOTHER
F
1
L
E
#
.1940
landscape
Position/
Slope%
HOTRAn
Depth
(In.)
SOIL MORPHOLOGY
.1941
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
fr Z
LAN
6-22
ZZ`ii
SL
LGIn
3v
r✓
��~ 3.1
Description Initial Repair S stem Other Factors (.1946):
S stem Site Classification (.1948):
Available Space(. 1945) Evaluated B
System T)2e(sl Others Present: ((((((JJJJJJ
Site LTAR —