IPACHTE#=334,/.3 Harnett County Department of Public Health 29062
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
^��/y PROPERTY LOCATION: L -I
Q -SS 3 /hetrvp�) /ZD
ISSUED TO- It ��Q�—cT� SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 1
Proposed Wastewater System Type: Z
Projected Daily Flow: Cg�t-r GPD
Number of bedrooms:— Number f Occupants: max
Basement ❑Yes —eNo � I
Pump Required: []Yes No L7 Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Blit ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
an rive years
❑ No expiration
Authorized Sta en Date: P— Z5 -/b SEE ATTACHED SITE SKETCH
The issuance of this permit b he H 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
ilk is subject to revocation f th m 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 Perm itt
The construction and installation requirements of Rules .1950, AM, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in amdane
with the attached system layout
ISSUED TO: Uqva L.l�/tu�ani PROPERTY LOCATION2`5a.l7i ) ®j1
SUBDIVISION LOT #
Facility Tape: New ❑�est�ansion El Repair
Basement. 11 Yes No asement Fixtures.7 El Yes o
Type of Wastewater System"�ti ±nQ0_*-A (Initial) Wastewater Flow: 3ZyZ _ GPD
(See note below, if applicable ❑) -)
_(Repair)
Installation Re uiremen s/Conditicns Number of trenches Q
Septic Tank Size D gallons Exact length of each trench /oo feet Trench Spacing: /--- feet on Center
Pump Tank Size ��d�— gallons Trenches shall be installed on contour ata Soil Cover. inches
e
Pump Requirements: ft. TDR vs.
Conditions:
Maximum Trench Depth of: Mailf inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(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
'L inches above pipe
inches total
"`If applicable, / understand the system type rpedfed it different hum the type tpecifed on the application. / accept the Wcylicatiom of this permit
Owner/Legal Representative Signature: Date:
Thu construction Authorization is subject in revocation if the site plan, plat, or the intended use changes. The Construction Authorization shag not he transferred when there is a change in awnershiD al the site. Thu
tonewmon 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 Ag � Date: �;—Z8 /(o
Construction Authorization Expiration Date: 5- 7&-7/
HTE# Offe- S —3�GG3
Permit # Z 90(6Z
Harnett County Depailinent of Mtblic Health
Site Sketch
/ `( PROPERTY LOCATON�/9S3 /4470jJ
L !'—L)
ISSUED TO: /�� rtc�c_s 1 1� SUBDIVISION LOT #
Authorized State
,ZS—
jE vz"-T,-,.t. 67-04-- .44-- 64P— .. /L— C)
1
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ONSITE WASTEWATER
SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: v Design Flow (.1949): �tP�
Location of Site: ,� Property Recorded:
E
Water Supply: ,.,,� Public❑ Individual ❑ Well
Evaluation MethodZ .Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Q-8i!wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
s
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
F2�u L
Ws
.1942
Soil
Wetness/
Color
32 5CL$I
.1943
Soil
IN.
.1956
Sapm
Class
.1944
Resp
Honz
Profile
Class
& LTAR
,3
s- �-
Description Initial Repair S tem Other Factors (.1946):
S ste Site Classification (.1948).
Available Space . 19451 1 Evaluated
S stem T s Others Present:
Site LTAR