IPACHTE# -si Harnett County Department of Public Health
29053
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION�I�t//e� %1 '5 2z
ISSUED TQ .Un�/t�Y� ?NG SUBDIVISION _--,'ir,_12e&CjeX LOT # �GZ
NEW V REPAIR 0 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: .,j������
Proposed Wastewater System Type: 0 F-C7kJ ll't/'a--�—
Projected Daily Flow: S3 GPD
Number of bedrooms: Number of Occupants: $ max
Basement ❑Yes EirNo
Pump Required: ❑Yes ❑ No �M,a �a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Ls! Public ❑ Well Distance from well Net Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State nt: Date: �j '/Z —{fes SEE ATTACHED SITE SKETCH
The issuance of this permit dol
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. Thu
site is subject to revoatip(j 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
Reauired for Building Permit
The construction and installation requirements of Rules .1958, .1952, .1954, .1951, .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 system layout.
ISSUED TO: 61� PROPERTY LOCATIONS—/Y/.3 /4!f//r`° 5 2/4
�� / �SION 7/1"* /-SP�r�`r, LOT # ,D
Facility Type: New ❑ xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑Yes No
Type of Wastewater System** LS'/. 1Z4i"t ri Lr-- 5 � (Initial) Wastewater Flow: �iC- GPD
(See note below, if applicable ❑)
2 5i6 4Vf>"—LeA—
(Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size /%DU gallons
Exact length of each trent �L feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of:7/v inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
14 inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / ondetstand the system type specified idifferent from the type spedffed on the application. / accept the specih'cationr o/ this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to remation 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 )CC AI IRI.nCU )IIC Mr1ln
Authorized Sta gent:hDate: / 7–
Construction
Construction Authorization Expiration Date: 5 – / 2 :::7,4
HTE# ��/o 5 3 / Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON;6W-/'//.3 lob
ISSUED TO:
SUBDIVISION Se L aC LOT # ��
Authorized
lZe9AU6 T�tG
ZI
Date: '5 " i Z —/%
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Ap
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method: El
Type of Wastewater:
Sheet:
Property ID:
Lot #:
File #:
Code:
dicant:
Date Evaluated: 9-5 y
Design Flow (.1949): L(2r,� Property Size:
Property Recorded:
Public❑ Individual ❑ Well El Spring
gerr,B,00pring C3 Pit ❑ Cut
u Sewage ❑ Industrial Process ❑ 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
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):.
Available Space (.1945) Evaluated By: d
System Type(s)) Others Present: /)
Site LTAR - !/