IPACNTE#-L4,x-5- aSTB( Harnett County Department of Public Health 29063
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�7 PROPERTY LOCATION-.-?113QuAw /7V A-6
ISSUED TSUBDIVISION LOT # 13
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: Sl --b
Proposed Wastewater System Type: efiloO ` 7
Projected Daily Flow: 3 GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes / a No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: es ❑ No ❑ Ma a required based on final location and elevations of facilities
Type of Water Supply: El Community Iiblic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
M Five years
❑ No expiration
Authorized Stat ent.: y Date: 7 —Z6 "/� SEE ATTACHED SITE SKETCH
The issuance of this perm¢ y N Ith 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 to revocation it 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 Permjt)
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 attached system layout
ISSUED T0: i A eece -- Cy , -,s PROPERTY LOCATION: 51 /7217 /3.� ZL-A
SUBDIVISION LOT #
Facility Type: 2 NewExpansion ❑ Repair
Basement? 13Yes No Basement Fixtures? 11Yes Ld No
Type of Wastewater System" If Z�(Initial) Wastewater Flow: 3(.im o GPD
(See note below, if applicable ❑)
Cir c) --1i44 ^ ---4' (Repair)
Installation Requirements/Conditions Number of trenches q
Septic Tank Size 11100 0 gallons
Pump Tank Size / +a 6 0 gallons
Pump Requirements: h. TDM vs.
Conditions:
Exact length of each trench /00 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of /2 er inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing:— Feet on (enter
Soil (over. Linches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
/Z 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 applicable7 l ondevrtaad the firmer type Jpeciped is different fom the type specified on the app/iratioa / accept the rpecif'radvAr of 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 transferred when then is a lunge in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules Dor Sewage Treatment and Disposal and to the conditions of this permit ax[ MI IR111[U all [ JRutn
Authorized State A R—,ry Date: S— 7.,-' —/ /r
Construction' Authorization Expiration Date: 5-26 11
H T E # //<-5-39�(o Permit # 29063
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON:
ISSUED TO: �-ee—A - SUBDIVISION LOT # /_
Authorized State ^^nt Date: q — z c- `4
4o )q-:7 �54r--
tj _rx a,6 1�f
13xyR,)-f
iza
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER
Owner: Applicant:
Address: Date Evaluated: K
Proposed Facility: 21� Design Flow (.1949):
Location of Site:Property Recorded:
0
Water Supply: -ru�blic❑ Individual ❑ Well
Evaluation Method:❑4uger Boring ❑ Pit ❑ Cut
Type of Wastewater: 0 --sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOB. MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
mineralogy
.1942
Soo
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Resp
Horiz
Ql
54.32 s.4
.3
Z
1--
o
5
6 -3D
SCu
I/n, l fy�r�b.
24 2e �
7'
S�
Description Initial Repair Sy tem Other Factors (.1946):
System Site Classification):
Available Space( 1945) Evaluatedted By: 44
System Type(s) is Others Present:
Site LTAR