IPACHTE# &—S 39Dg3 Harnett County Department of Public Health 28961
Improvement Permit
A building permit cannot be issued with only an Improvement,Pgtslfit
_ ��„ PROPERTY LOCATION: s2 — l70Y Z � j
ISSUED TO' /LCi j ( f� SUBDIVISION LOT #
NEW Eil' REPAIR ❑ EXPANSION ❑
Type of Structure: L 3 ryi,,
Proposed Wastewater System Type: 06alb
Projected Daily Flow: 'al Lo�'a GPD /
Number of bedrooms: Number of Occupants: max
Basement []Yes 0 No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: 17Yes ❑ No ❑M be required bated on final location and elevations of facilities
Type of Water Supply: El Community public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Ago.. �/° //+z�cL%" Date: ) "G l —'! (fl SEE ATTACHED SITE SKETCH
The issuance of this permit bye H Department in no way guarantees the issuance of other pen i0. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site u subject to revoation if sfte 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 .1958, .1952, .1954, .1955, .1956, .1957, .1958. 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: PROPERTY LOCATION:�L17oy/
SUBDIVISION LOT #
Facility Type: — Ed New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes LJ No
Type of Wastewater System'* 25°1a Z 0DU cT-Lcl'�
(See note below, if applicable ❑)
2,06� iZf9b Uu—Z�� � 3�7 (Repair)
t
(Initial) Wastewater Flow: 3,6-0 GPD
Installation Requlrements/Condltsons Number of trenches?
Septic Tank Size t5 D a gallons Exact length of each trench /Q® feet Trench Spacing: ��-- Feet on Center
Pump Tank Size ! a 0 o gallons Trenches shall be installed on contour at a Soil Cover, 6, Inches
Maximum Trench Depth of 2c-> 2 W inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TDM vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
2 inches above pipe
L inches total
**If applicable: / fmdeatand the system type specibed it different hom the type spedfed on the application. / accept the specifications o/ thin permit
Owner/Legal Representative Signature: Date:
This Construction Authoruanon 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
LOnstruCOon Authonzanon is subject to Compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the mnditone of this permit At AI IALrtD lilt )RIALr
� J r
i fl
Authorized State A % Date: 21 -1
Construction Authorization Expiration Date:
NTE# I6 - S- 3 9 Oq3 Permit # Z � 01 "1
Harnettunty Department of Public Health
r�� Site Sketch
ISSUED TO:
Authorized
J r
1
LOCATON:'rXnPf Fi ��" ra . /t'/-�
(VISION LOT #
Date: —1 — �� l
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOUJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: �r�, ""
Address: , Date Evaluated:
Proposed Facility: _jf_ rte � Design Flow (.1949): ,tom
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: D -Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑'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.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapm
Class
.1944
Restr
Horiz
456
��
Su-�
.✓t,n--� �(�' GCS
� V 7%�
X4 0/6
-1Z
5L
rv6a,dsnrP_
sn 3f3L"s2
J
r2 -YL
��
k�s�ws
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): 5
Available Space (. 1945) Evaluated By: `1
System Type(s) Others Present:
Site LTAR • 3