IPACHTE# 6 —.57-3560t Harnett County Department of Public Health
28985
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
AA PROPERTY LOCATIO,N•,o,G 4
ISSUED TO: 4ntnl K G SUBDIVISION 14v T LOT # �_
NEW ql/ REPAIR��j EXPANSION ❑ Site Impr ements required prior to Construction Authorization Issuance:
Type of Structure: .,���
Proposed Wastewater System Type: 7a , de,
Projected Daily flow: (/9,6 GPD
Number of bedrooms: 11 Number of Occupants: max
Basement ❑Yes 0No �
Pump Required: ❑Yes ❑ No f3 Ma required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. f�Frve years
Permit condition: ❑ No expiration
Authorized Sta r— ✓ Date: SEE ATTACHED SITE SKETCH
The issuance of this permit the ealth Department in no y guarantees the issuance of other persim. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revoatio 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 laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and i usallabon requirements of Asset .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references iota this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED T0: PROPERTY LOCATIO L L � /L/J
SUBDIVISION LOT #
Facility Type: 9/'New ❑,Expansion ❑ Repai
Basement? El Yes No Basement Fixtures? El Yes o
Type of Wastewater System** 26-4 rd—a-- (Initial) Wastewater Flow: C(iA GPD
(See note below, if applicable ❑)
42ar5--M Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size J'2 4 -D gallons Exact length of each trench S feet
Pump Tank Size gallons Trenches shall be installed on contonq at a
Maximum Trench Depth of 222 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. 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
e— inches above pipe
12�— inches total
If applicable l understand the ryrtem 0e speciled vi different from the type specified on the application. / accept the specibcations of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is sublets to evocation if the site plan, plat or the intended use changes. The Conswttion Authorization shall not be transferred when there is a change in owmrshio of the site This
sanenuction ewmonzation n 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
Authorized Stat ent:ro —
Date: 1f( —4e fo
Construction Authorization Expiration Date: !!J —u[ -21
HTE# /% S— -39068 Permit # L Of 0 `�-
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: --ZY `/ 1S
ISSUED TO: w�A/A) SUBDIVISION LOT # } 1
Authorized
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51L),J�Af, S>
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIASITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant: S —
Address: Date Evaluated:
Proposed Facility: 'q_,42`�N Design Flow (.1949): Property Sim:
Location of Site: Property Recorded: c
Water Supply: Public❑ Individual _ [3 Well [I Spring
❑
Evaluation Method:ug �BBoringg G -pit ❑ Cut
Type of Wastewater: swage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
landscape
Position/
Slope %
Horizon
Depth
(In.)
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minerslo
.1942
Soil
Wemess/
Color
.1943
Soil
th /N.
.1956
Sapro
Class
.1944
Restr
Horiz
�
(✓��
c -Z2
��,
A1�
a�-
w n
u
DjLLTAR
tion Initial epair System Other Factors (.1946):
S stem / Site Classification (.1948):
Ae Space(. 1945 Evaluated -�,
ST s Others Present:
Sirg