IPACHTE# 11., -S_ --39f77 Harnett County Department of Public Health 28976
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�q [� PROPERTY LOCATION: 2X4 7US )l 0 cn± � � /L4
ISSUED TO:. / v'/r_/<% SUBDIVISION LOT #
NEW C;3' REPAIR ❑ EXPANSION ❑
Type of Structure:
Proposed Wastewater System Type: F7lri7
Projected Daily Flow: 3(eo GPD
Number of bedrooms: Number of Occupants: max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑Yes No /
Pump Required: ❑Yes ❑ No M be required bled on final location and elevations of facilities
Type of Water Supply: ❑ Community a Public El Well Distance from well 1-69�-5 feet
Permit conditions:
Permit valid for.
I1 Five years
❑ No expiration
Authorized State Age A:: Date: 9 — I I — I to SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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 provision of
the lata 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, .19S1, .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: _LLLICI lA PROPERTY LOCATION: 5c.- L 105- y 1
/ SUBDIVISION J LOT #
13
Facility Type: ��D New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes L^F No
Type of Wastewater System" (Initial) Wastewater Flow: L-3 GPD
(See note below, if applicable ❑)
LFrr..- (Repair)
Installation Requirements/Conditions Number of trenches — 3, L ��
Septic Tank Size o 0 0 gallons Exact length of each trench LI9A7f �(4Ofeet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of /9 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TON vs. GPM
Conditions:
Trench Spacing: IT Feet on Center
Soil Cover. —Z -inches
(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.
inches below pipe
2 inches above pipe
/L inches total
."If applicable: / understand the ystem type specified it different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject on revocation if the site plan, plat or the intended use changes. The Construction Authorization shall Out be transferred when there is a change in ownership of the site. This
mnstrumon Authommum is subject to compliance with the pronsions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt III Inln1:U lilt AMR
Authorized St ent: o� �Z Date:
Construction Authorization Expiration Date:
HTE# 3i 17-1
Permit # 2- 25 S7�-
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON4< 17O5-y11C) "Laj ^.11"114-1f�
ISSUED TO: �i SUBDIVISION LOT #
Authorized State Age ?�,— f/" J � � Date:
�gd
L'a
dtlrry
521-7 os'
olt�
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 1.111 Design Flow (.1949): 3L__
Location of Site:CJ +� Property Recorded:
Water Supply: Public❑ Individual Well
Evaluation Method: ❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: B -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
Structurd
Texture
.1941
Consistence
Mmeralo
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
FHoriz
/
-Yd
cc,
rL
` as
i
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available S ace .1945) Evaluated By:
System Type(s) Others Present: 2
Site LTAR ti I