IPACNTE# Harnett County Department of Public Health 28989
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIO Do y
ISSUED TO. O �• YG SUBDIVISION 0 LOT # f /
NEW fB� REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ?�
Projected Daily Flow. Zt-Z GPD
Number of bedrooms: Number of Occupants: 6�max
Basement ❑Yes No
Pump Required: es E01 No ❑ Ma a required based on final location and elevations of facilities
Type of Water Supply: El Community 5Y Public ❑ Well Distance from well feet Permit valid for. E24ve years
Permit conditions: ❑ No expiration
Authorized State L Date: 8' Z4 ^ f (e SEE ATTACHED SITE SKETCH
The issuance of this permit a Health 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
(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 he installed in accordance
with the attached system layout.
layout.
/ ,n ,
ISSUED T0: PROPERTY LOfATION:,59 /LVID d%,O Si7 D.G /f/J
SUBDIVISION LOT # YL—
Facility Type: Gr New ❑�Ezpansion El Repair
Basement? El Yes 2r'No ��vg"gement Fixtures? 1:1 Yes o
Type of Wastewater System** 29-6!�v 4;� (Initial) Wastewater Flow: _ y GPD
(See note below, if applicable ❑)
/6e-d� (Repair)
Installation Requirements/Conditions V Number of trenches 3
Septic Tank Size-" MzP 6 gallons Exact length of each trench � feet
Pump Tank SizeTia gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 22 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: 7' Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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
�— inches above pipe
inches total
**If applicable: / ondeutand the system type speciled is different from the type speciled on the app/intim / accept the speafieatims of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation it the site plan, files, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Wnstmction Authonution is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Dispo I and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State 4iDate: —Z 4 — r Jui,—
Construction Authorization Expiration Date:—?h—EJ
HTE#%6'S —'393 Z0
Permit #
Z&1pg
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:Z�xlAr)O &0
ISSUED T0: cAl /72r G q SUBDIVISION A LOT #
Authorized State en �� ��y Date: e'ul
v /
wffo NctLr x,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOII✓SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: (��
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): B1.2-6
Location of Site: Property Recorded:
Water Supply: ,-,� ublic❑ Individual El Well
Evaluation Method:l_7 auger�BBori�nS ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Sim:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Pos tiew
Slope%
Horizon
Depth
(In.)
.1941.1941
Structure)
Texture
Consistence
Mineral
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Salim
Class
.1944
Resn
Horiz
Profile
Class
& LTAR
�-3
20 -yd
c G�
310'si
Description Initial /Repair System Other Factors (.1946):
S stemz Site Classification (.1948): P5
Available Space(. 1945)5�:z Evaluated By:�l
System Type(s) hers Present "—
Site LTAR