IPACHarnett County Department of Public Health 29068
Improvement Permit
A building permit cannot be issued with only an Improvement Permit � ^
// ', �+ PROPERTY LOCATIO `Y C Ivo %]�+� $ r4J
ISSUED TO:L Lz't w 4—t.-' 7r;,.3 �_ SUBDIVISION LOT # Z
NEW E REPAIR ❑�� EXPANSION ❑ Site Improvement required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: L4 GPD
Number of bedrooms: "I Number of Occupants: _ `/' _max
Basement ❑Yes ❑ No
Pump Required: ❑Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public ❑ Well Distance from well feet Permit valid for: LYFIve years
Permit conditions: ❑ No expiration
Authorized State en • fid' Date: a8 //o SEE ATTACHED SITE SKETCH
The issuance of this permit by a ealth 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 i e 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, .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 system layout /
ISSUED TO: �%v� 4W-W"1Zir— PROPERTY LOCATION: &A_Iq'ZT
SUBDIVISION �—*� Gw� LOT # Z
Facility Type: c�7 EY New ❑ Ex ansion ❑ Repair
Basement? ❑ Yes 010 !a ment ix s? ❑ Yes 0
Type of Wastewater System" 2� � II.f �11�y �l tz ��S �— s� (Initial) Wastewater Flow: . GPD
(See note below, if applicable ❑)
ZL> (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size V gallons Exact length of each trench i SV feet
Pump Tank Size O ti gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z8 719 inches
(Trench bottoms shall be level to +/.I/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)
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
inches above pipe
___L_Z. inches total
"If applicable / undeatand Me s}rmm type spea6ed /s diKeren� /rom the type rperihed on the app/iration. / accept the speafieir oar 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 there is a chance in ownership of the sit. Thi.
Lonstruction 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 Sta. en Date: 7M 811149
Construction Authorization Expiration Date: 9 _P
H T E # ��n 3`JDoS
Harnett County
Permit # 2 ,7 d&, o
Department of Public Health
Site Sketch
OPER(. , , , .psi-�►��rs��.r���
ISSUED TO:
SUBDIVISION
v
�J�v�w 5��-s
Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
Property ID:
e
On -Site Wastewater Section
Lot
SOIIJSPP6 EVALUATION File #:
for ON-SITE WASTEWATER SYSTEM Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): Property Sim:
Location of Site: Property Recor ed:
Water Supply:
ic❑ Individu ❑ Well ❑ Spring ❑Other
Evaluation Method:❑ Auger B ng Pit ❑ Cut
Type of Wastewater. Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY
1
OTHER
.1940 .1941
L landscape Horizon
PROFILE FACTORS
E PosSlope % Depth .1941 .1941
# Slope Yo (In.) Struclurd Consistence
.1942
Soil .1943 .1956
wetness/
.1944 Profile
Texture Mineralo
Soil Sapro
Color th IN. Class
Restr Clefs
c`'1+
Hertz & LIAR
2�- 4 t �.• �
34,up
Zy-4-3 sct_ zsas°
3 Lt/v Z�
Description Initial Repair System
Other Factors (.1946):
S ste
Site Classification (.1948):
Evaluated By:
Available S (.1945)
S stem T e(s
Site LTAR [-
Others Present: