IPACHTE# 5 -�Sl , _ Harnett County Department of Public Health 28972
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
1/ /� f PROPERTY LOCATION:,- � t 7 -7 )� 5 �,ilE� rt/L�A
ISSUED T0: K I I C7�C_ SUBDIVISION LOT #_
NEW IV"
REPAIR ❑� EXPANSION ❑
Type of Structure:
5 I Il
Proposed Wastewater
System Type:2 %f ?C2-4-1
Projected Daily Flow:
GPD
Number of bedrooms:
Number of Occupants: max
B ❑Y
f9'N
Site Improvements required prior to Construction Authorization Issuance:
asement es o
Pump Required: []Yes ❑ Nof5'?�laylbe required based on final location and elevations of facilities
Type of Water Supply: El Community EL ublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
514 a years
❑ No expiration
Authorized State AgEnsr - e Date: ii ' i % h SEE ATTACHED SITE SKETCH
The issuance of this permit byI th 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 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 provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Remitted for Building Permit
The construction and installation requirements of Rules .1950, .1952, .19S4, .195S, AM, .19S7, .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: C\ e�-'--44' 3 U Uc-PIL PROPERTY LOCATION: 75� Li 21 i -r-!'5+
SUBDIVISION LOT #
Facility Type: 9/'New 11�xpansion ElRepair
Basement? ElYes No Basement Fixtures? ElYes [3' 0
Type of Wastewater System** 2bY,2d (la-gO :IE;� i, (Initial) Wastewater flow: 3c, GPD
(See note below, if applicable ❑) r
';�2S� (Repair)
Installation Requirements/Conditions Number of tenches !
Septic Tank Size `> gallons Exact length of each trench J UC) feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of.. da --)1 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing:—Feet on Center
Soil Cover: nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
4 inches below pipe
2 inches above pipe
/2 inches total
**If applicable: / understand the system type specifved it different from the type specified on the app/icuion. / accept the rpecih'cadonr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoation 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
Conswction 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 SEE ATTACHED SITE SKETCH
pyo
O z
Authorized State Date:
Construction Authorization Expiration Date: /
HTE#��t 5 - 391,1 $ Permit # ?.- 0 77_
Harnett County Department of Public Health
Site Sketch
/� &80
/' PROPERTY LOCATON:SL/� Z ] /-�,�1 ha t L' 14 %ZA
�1
ISSUED TO: e� ,( 80d-` SUBDIVISIO LOT #
Authorized State A "f Date:
5
3w�
20
b
�LINL1 �ap�SF��a�D
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOI JSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: /,—� Q, �,
Address: Date Evaluated: a
-46
Proposed Facility: Jt� Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply:O n ,ublic❑ Individual C3 Well
Evaluation Method:P 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
Profde
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
t•Z-
Z_'t2
0—IL
SL
�N.6
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available S ace (.1945) Evaluated By:
S stem T e(s) "— Z Others Present:
Site LTAR 7