IPACHarnett County Department of Public Health
2897
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
t PROPERTY LOCATION? 2, 7 �j t s� �� my Y2-42)ISSUED TO 16U'/ ILic SUBDIVISION r LOT #
NEW I2' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:L2
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No �
Pump Required: Dyes ❑ Nof7/�May� required based on final location and elevations of facilities
Type of Water Supply: ❑ Community f�Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
1946 -years
❑ No expiration
Authorized Stateent: Z " 4 9C.1 Date: ;i' 5 — f (E SEE ATTACHED SITE SKETCH
The issuance of this permitg the jf Ith 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 to revontio r_Wssite 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..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: &'J/ cC PROPERTY LOCATION: .754Jc/27 DA47%�s�CS'iZ�r1�
� SUBDIVISION LOT #
Facility Type: �6'� Q" New � k Expansion 11 Repair
Basement? 13 Yes No Basement Fixtures? 11 Yes No
Type of Wastewater System** 2�, (�� S r,� �,� (Initial) Wastewater Flow: ivL7 GPD
(See note below, if applicable EI)
2`z�2dB �LSi= (Repair)
Installation Requirements/Conditions Number of trenches C
Septic Tank Size )DO D gallons Exact length of each trench feet Trench Spacing: _� Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. _{r` inches
Maximum Trench Depth of: 40016 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. TDH 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
/a inches total
**If applicable: / underhand the spirem type tpedfed it different from the type spedifed on the app/ira6on. / acrept the rroedfcatiozDr of thif pemdt
Owner/Legal Representative Signature: Date:
This (instruction 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 Tor Sewage Treatment and Disposal and m the conditions of this permit )tt AIIALntV 5IIt MILK
Authorized State Agent-- � I Date: (2, 3 f 4
Construction Authorization Expiration Date: P, - 3 - 7 f
HTE# ��' Ste' 39 1 q i Permit # 20171
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON:5d /42-7 f�nsf�sfrrrmr2
ISSUED TO: (1 e Cg... i(LCA.- SUBDIVISION LOT #
��7�21r1,f'e
Authorized State A efit: Date:
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: f��/L�
Address: //�- Date Evaluated: t O
Proposed Facility: 7' ) Design Flow (.1949): 4 ,
Location of Site: Property Recorded:
Water Supply: -0 Public❑ Individual ❑ Well
Evaluation Method:❑ -Auger Boripg ❑ Pit ❑ Cut
Type of Wastewater: El -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
1944
landscape
Position/
Slope%
Horizon
Depth
(in.)
SOB. MORPHOLOGY
.1941
OTHER
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
11 1
` 4 S
6 •$
SC
Fit N SnP
? �(
v
e s
✓� NSv
Description Initial Repair System Other Factors (.1946):
System i' Site Classification (.1948): p
Available Space (.1945) Evaluated By: '
System Type(s) r 'L_ 7 y- Others Present: i
Site LTAR a Z