IPACHTE#�/��=39353 Harnett County Department of Public Health 28994
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ll�� PROPERTY LOCATION: h-/111 .. n1$ %Le) s, )
ISSUED TO 5 /T SUBDIVISION LOT #Z
NEW IT REPAIR X`� EXPANSION 11Type of Structure:
Proposed Wastewater Sys3tm, T�y�e: 26� ✓L -o o—
Projected Daily Flow: 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 ba on final location and elevations of facilities
Type of Water Supply: ❑ Community Public Well Distance from well / 30 feet
Permit conditions:
Permit valid for.
Cwf a years
❑ No expiration
Authorized State 46 G_ / Date: 51— / — / (.o SEE ATTACHED SITE SKETCH
The issuance of this permit be 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 requirement. This
site is subject to revon, n site Ptak 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 previsions of
the taws 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, .19% 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'1 /� —s PROPERTY LOCATION: j22�,./LJ/2 /Zt erec _i2jCj
�� EYISION LOT # Z
Facility Type: Ltd" New ❑ xpansion ❑ Repair
Basement? ❑ Yes No Basement FixttWes? ❑ Yes o
Type of Wastewater System" Z15% ILo-d� 5!?9,�IiJ GL— (Initial) Wastewater Flow:�S� GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number oft rather Z
Septic Tank Size 166 y gallons Exact length of each trench /Uy feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. T inches
(Trench bottoms shall be level to +/-I/4"
in all directions)
Pump Requirements: h. TDH 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 LOFT. 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
1� inches total
*'If applicable: /understand the tyrtem type rpeuled it different from the type rpealed an the app/irzdan. / accept the rperiltationr of thk permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocition 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
1.onstructun Aumonzaton Is subject to compliance with the provisions; of the laws and Rules for Sewage Treatment and Disposal and the conditions of this permit ltt AI IAIIRU lilt MILH
Authorized State Date: _P,
Construction Authorization Expiration Date: —/ — 7 /
HTE# 393 $ 3 Permit # Z 92? y
Harnett County Department of Public Health
Site Sketch ,
/ /, PROPERTY LOCATON�g ���e�/4//
ISSUED TO: Gt S zol. Avg SUBDIVISION 1 ✓/ 4-
/ LOT # z
Authorized Stat ent: Date: CJL /
W
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
rumOwner: Applicant:
Address: Date Evaluated:
Proposed Facility: j�� Design Flow (.1949): Zy [l..
Location of Site:��Property Recorded:
[
Water Supply: 'Public❑ Individuo�/ ❑ Well
Evaluation Method:[:] Auger Bo
*p (r]" Pit ❑Cut
Type of Wastewater: Y 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.)
SOI, MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profde
Class
& LIAR
.1941
Structure/
Texture
.1941
Consistence
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Restr
Honz
J. 2
L_
o 1713L
S'
cr0
3z,
Description Initial Repair S em Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945) Evaluated By: ,'L__�
System Type(s) Others Present:
Site LIAR