IPAACHTE#J(, — r-3gso3 Harnett County Department of Public Health 28999
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:2iLfy7-/
ISSUED TQ L� tw o-..) SUBDIVISION LOT #
NEW 5 REPAIR ❑Sri EXPANSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �
Proposed Wastewater System Type: ZS% ]Z.61tt _w
Projected Daily Flow: 2'A Ca GPD
Number of bedrooms: Number of Occupants: mRic
Basement ❑Yes EKNo ��
Pump Required: ❑Yes El No fyT M e required based on final location and elevations of facilities
Type of Water Supply: 101 Community Public ❑ Well Distance from well feet Permit valid for.Five years
Permit conditions:
❑ No expiration
Authorized State A G [,�,a s _pi Date: i - S - f C, SEE ATTACHED SITE SKETCH
The issuance of this permit bo
tAalth Department in no way guarantees the issuantt of other permits. the permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject in revocation if the sire 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 constraints, 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 be installed in accordance
with the attached sys
te
m layout/—
ISSUED TO: t �* �/LU6�,� PROPERTY LOCATION: /d/2/,- _ /.p
t em /Z-6
SUBDIVISION LOT #
Facility Type: Lal New '1' Expansion ElRepair
Basement? ElYes No Basement Fixtures? 11Yes Ed No �
Type of Wastewater System** 7r.. -r=4 --b (Initial) Wastewater Flow:g'' t. 0 GPD
(See note below, if applicable ❑)�
1 ,ra -"5-% (&A (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I v -z> -O gallons Exact length of each trench 7— z� feet Trench Spacing: Feet on Center
Pump Tank Size dtaztp gallons Trenches shall be installed on contour at a Soil Cover. Z ---inches
Maximum Trench Depth of: 2y inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36' above the trench bottom)
in all directions)
Pump Requirements: h. TON vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
4 inches below pipe
inches above pipe
/L inches total
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the specilcations o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be statement when there is a change in ownership of the site. This
Construction 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 Stt AI IALRtU Mit MtILH
Authorized Stat e Date: S- 8 -Ag
Construction Authorization Expiration Date: 5 - e--- Z/
HTE# /(,j— 5-.393c3
Authorized
Permit # Z 891 S
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:Z5X1WZ 1 fp4dy
ISSUED TO: Y� %w�
'5; PROPERTY
SUBDIVISION LOT #
Date: f 1 o - /G
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: -e-'
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): 11(()
Location of Site:�,� Property Recorded:
Water Supply: L3rublic❑ Individu ❑ Well
Evaluation Method -0 Auger �floryi' g ❑ Pit ❑ Cut
Type of Wastewater: L -)'Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
.1940
landscape
Position/
SlopeY
Horizon
Depth
(to.)
SOIL MORPHOLOGY
.1941PROFILE
OTHER
FACTORS
.1941
SWcturd
Texture
.1942
.1941 Soil
Consistence Wetness/
Min Color
.1943
Soil
th
.1956 .1944
Sapro Restr
Class Horiz
Profile
Class
& LTAR
1.z
H
6
4A.6.z_d Nn
Description initialRepair Sy tem Other Factors (.1946):
S tem Site Classification (.1948): r/
Available Space(. 1945) V Evaluated Ey
Site LTAR s Others Present: 6�
.Y