IPACHTE# ,�--"I Harnett County Department of Public Health 28966
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY
�) �/ LOCATION:�Jc%/3 /��, Vii)
ISSUED TO: AL a"rG.,tiM+�-Yt..- Atr-i, � mac- SUBDIVISION 7-74-G /2a -A- - - LOT # T -8 --
NEW
`8'NEW E9 ' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 50 ''
Proposed Wastewater System Type: % Y� F -a -2 4-' tVZa.-dO
Projected Daily Flow: Li GPD
Number of bedrooms: Number of Occupants: S max
Basement ❑Yes No
Pump Required: nes ❑ No ❑Ma a required based on final location and elevations of facilities
Type of Water Supply: 1-1CommunityIblic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
E'Five years
❑ No expiration
Authorized StateA C way guarantees the iuuantt Date: %- Z] /ln SEE ATTACHED SITE SKETCH
The issuance of this permit he Health Department in of other permits. The permit holder is responsible for specking with appropriate governing bodies in meeting their requirements. This
site is subject is revocation if 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 pmvisions of
the laws and Rules for Sewage Treatment and Disposal and in conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1959. 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: GJ/ r i7 -2500G PROPERTY LOCATION: ;�h qO .�1>
` —/ w0 -r
SUBDIVISION D - LOT #
Facility Type: Ltd New ❑ Expansion 13 Repair
Basement? 11 Yes No Basement Fixtures? I] Yes o
Type of Wastewater System** 7- L—Z-6-:a-- s)ES trs� (Initial) Wastewater Flow. GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size IZao gallons Exact length of each trench feet Trench Spacing: ! feet on Center
Pump Tank Size /%� U gallons
Pump Requirements: ft. TDH vs.
Conditions:
Trenches shall be installed on cont ur at a
Maximum Trench Depth of: —2q inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Soil Cover: 4- 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 SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
z inches above pipe
/L inches total
**If applicable: l understand the s}rtem type specified j6r different Irons the type speofied on the application. / accept the specifications o/this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject m 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
Constmctan Authorization is subject to compliance with the previsions of the laws and Rules for Sewage Treatment and Disposal
laand
,tot the conditions of this permit SEE AIIACHEO SIZE SKETCH
Authorized Stat Date: -7 - l
Construction Authorization Expiration Date:
HTE# JL -5--307(q Permit# 2-0(:;le6
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON:Srr= N0 /Za%%s
ISSUED TO: LiiQk>6gk -� SUBDIVISION 1W /1W,61eV LOT #
i� IfF$
Authorized State ent �..�� L_ f �)�j Date:
0
1yt3 0
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual Well
Evaluation Method: -Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ['Sewage ❑ Industrial Process
Sheet
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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
Mineralo
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Salim
Class
.1944
Restr
Horiz
mfg
^'
l a3Ks P�
y 51,
uu-uto �
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):(
Available Space .1945) Evaluated By:C�
S stem T s Others Present:
Site LTAR K