IPACHTE# /�—� =��y Harnett County Department of Public Health 2907 1/
Improvement Permit
A building permit cannot be issued with only an Improvement Permit n
L D /% PROPERTY LOCATIONS 3 407 n_
ISSUED TO:GI^��+� /141 SUBDIVISION L5atLdloi 1,3— �J S LOT # f`%�
NEW REPAIR ❑/� EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 15-11=0
Proposed Wastewater System Typpe:2 �e Rtii t%L7 i tr1�
Projected Daily Flow: 3(da GPD
Number of bedrooms: Z-'ei Number of Occupants: 4 max
Basement ❑Yes Lr1 No
Pump Required: ❑Yes ❑ No Ei Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community El Public ❑ Well Distance from well feet Permit valid for. WZiye years
Permit conditions: ❑ No expiration
Authorized State�Age t — Date: / C' -S —/ 6 SEE ATTACHED SITE SKETCH
The issuance of this permit b e edth Department in no way gua nlees Me issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. chis
site is subject ro rerocatio 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 ro compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Buildine Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1950. 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: ��' � G PROPERTY LOCATION:n5t-1N3% B�Rei 1=�
SUBDIVISION Wc0i -0 $ LOT # /N 7
Facility Type: lZeNev, ❑ nsion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes ff0
Type of Wastewater System** ZS "Ice GAtei tie _ (Initial) Wastewater Flow: 34--� GPD
(See note below, if applicable ❑)
7>—P (3 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /00,0 gallons Exact length of each trench J'0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 22 7d inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing:.—% Feet on Center
Soil Cover. Inches
(Maximum soi 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.
Y inches below pipe
inches above pipe
inches total
**If applicable: / undersand the s}rtem type specdled is different from the type speciled an the app/urban. / accept the spedgeationr 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 tranderred 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 SEE ATTACHED SITE SKETCH
15
Authorized State a j—> /i�Date: /O
Construction Authorization Expiration Date: OO 5'-2;4
HTE# —3/-1 % Permit # -2-9 U�
Harnett Count- Department of Public Health
Site Sketch
PROPERTY ISSUED TO: `Ure %clq�J� %�p r 2oJZSU DIVISIOTN N J,N�
C►P�� LOT # INL
Authorized State
IN
3s 1 I'JA
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method: El Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ 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
Minmlogy
.1942
Soil
Wetness/
Color
.1943
Sod
Depth IN.
.1956
Sapro
Class
.1944
Rem
Horiz
9 Yz
s et
s'`ten
5 P 0
9 2- �Y 5 2
•35
2
m4 �o
o -21t
L S
rNs ,�P
2H-4�
sG
5r -s s
yq' `16 S2
4
• O
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available S ace (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR