IPACHTE# I�--39V Harnett County Department of Public Health 2905
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION0C./B/6
ISSUED TO - /0 SUBDIVISION LOT #
NEW REPAIR EXPANSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System T e: ZS�I[%dCfiLpL�
Projected Daily Flow: c-I'� GPD
Number of bedrooms: :;/Pbublic
Occupants: S max
Basement []Yes
Pump Required: []Yes ❑ No required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Lar rive years
❑ No expiration
Authorized State cat: Date: �_— 7 — L ( SEE ATTACHED SITE SKETCH
The issuance of this permit b e alth 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 m revocaeo a 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, .1957, .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 atmched system layout
- /
ISSUED TO: 6�160;0-5 PROPERTY LOCATIONZ40/O-STG/-)/
SUBDIVISION LOT #
Facility Type: SF� New Expansion El Repair
Basement? ❑ Yes No Basement Fixtures? El Yes Id No
Type of Wastewater System" Z,'52ofZQi/ - 5 — (Initial) Wastewater Flow: q'o GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches 2 -
Septic Tank Size IZ60 gallons Exact length of each trench 40 feet Trench Spacing: cl Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover,t, inches
Maximum Trench Depth of: 4Q—>15 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. TDH vs. GPM �' inches below y pipe
Aggregate Depth: z inches above pipe
Conditions: !-/. / 6A)��A 7'f '-/4'li s��✓ ��� inches total
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.
**If applicable: / understand the system type specilled is different Imin the type specified on the applicmion. / accept the rpedffcatims of 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 transferred 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 SEE ATTACHED SITE SKETCH
Authorized State env. Date:
Construction Authorization Expiration Date:
HTE#kw� �-39q� Permit# l'9D!C-%
Harnett County Department of Public .Health
Site Sketch
�/� �� PROPERTY LOCATON o i� SC��✓�/vl RZ
ISSUED T0: � i " '� �'���� A "�— SUBDIYI ON LOT #
Authorized Stat ert:
Z Date:
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: �
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): Y
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:E)-)*u_ger Boring ❑ Pit ❑ Cut
Type of Wastewater: [I -'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
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Rem
Horiz
�
y"+
Z
L�
o -/L
fL
L., yd
5C -G
(ADLS
ZS•3c7' 3•
Description Initial Repair S tem Other Factors (.1946): -- �
System Site Classification (.1948):
Available Space(. 1945) Evaluated By��
S stOthers Present:
Site LIAR - 211,
Z