IPACHTE# d� --EN-s8 Harnett County Department of Public Health 29074
Improvement Permit
A building permit cannot be issued with only an Improvement Pe�j
PROPERTY LOCATION:��--J �
ISSUED TO' �5 SUBDIVISION Q & / LOT # Z
NEW L6r REPAIR [EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:+
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: an max
Basement ❑Yes alks
Pump Required: ❑Yes ❑ No M e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: Fars
Permit conditions: ❑ No expiration
the laws and Rules for Sewage Transient and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and imtallation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accarda u
with the attached system layout.
ISSUED T0: 4w4y, PROPERTY LOCATI p:
SUBDIVISION LOT #_
Facility Type: 2 New ❑l Expansion El Repair
Basement? ❑ Yes No B ent Fixtur ? 11 Yes L;; o
Type of Wastewater System** Z z/—� —57ieSJ`-72r— (Initial) Wastewater Flow: WC) GPD
(See note below, if applicable ❑)
2662b 05�4tri (Repair)
Installation Re uirements/fon tions Number of trenches �;
Septic Tank Size /Z� gallons Exact length of each tren %fax feet Trench Spacing Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. —2 --inches
Maximum Trench Depth of: WD f`a 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: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
orches above pipe
�_ inches total
**If applicable: / understand the ryrtem type rpedbed it different from the type rped6ed on the app/icatioa / accept the rpedlcadoar of thin permit
Owner/Legal Representative Signature: Date:
This Construction Authonatum is subject to revozation 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
Lonswction Authorization a subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI IALNtU lilt MILK
4h I
Authorized Stat nt Date: / —1(0
Construction Authorization Expiration Date: —S'
NTE# V Permit # 2SD-7y
Harnett County Department of Public Health
Site Sketch
ISSUED T0:
Authorized
Date: / 0 — 5— —
V
X�
7
W
1716--- 3�
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
S011JSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: r-4—
Address:
-4—Address: Date Evaluated: `r—t- v
Proposed Facility:'' Design Flow (.1949): k ��
Location of Site: Property Recorded:
,,/
Water Supply: E Public❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ['Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
N
.1940
Landscape
PositioN
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
Bc LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapm
Class
.1944
Restr
Horiz
w
sCI
p}�
y�"yst" ail
Description Initial Repair System Other Factors (1946):
S stem Site Classification (.1948): !L r,
Available S ace F5_)_ Evaluated By: G1
System Type(s) 2 ZOthers Present:
Site LTAR . N