IPACHTE# -3'SCIG Harnett County Department of Public Health 29080
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�n PROPERTY LOCATIONF5X—/-V6 ��4�aa/d -#Z0
ISSUED TO: �/ J SUBDIVISION LOT # fl—
NEW
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Mil" F
Proposed Wastewater System Type: 5`1D
Projected Daily Flow: O GPD
Number of bedrooms: Number of Occupants: a max
Basement []Yes No
Pump Required: ❑Yes ❑ No LK �M e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L'7 Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized Stam vent,., _ /A 2• G— /' /.�N/b 4UY Date: / &/` / —/ to SEE ATTACHED SITE SKETCH
The issuance oft: permit Health Department in no way guarantees tl�e issuanco of other permits, The permit holder is responsible for checking wish appropriate governing bodies in meeting their requirements. This
site is subject to revocati d e site plan, plat or the intended use changes. The Improvement Permit shall not be offices 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 Permjtl
The construction and installation requirements o1 Rules .1950, .1952, .1954, .1955, .1956, .1957, .1959. 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: lA+. A JeZ PROPERTY LOCATION �� d�
SUBDIVISION LOT #
—P[�
Facility Type: E�i�h New Expansion ElRepair
Basement? ElYes No BB;UeqlentJj> Jr s? ❑ Yes <No 4 T
Type of Wastewater System** (Initial) Wastewater Flow: -7 GPD
(See note below, if applicable ❑)
1 (Repair
Installation Requirements/Conditions Number of trenches Z °'L
Septic Tank Size/%✓ D/) gallons Exact length of each trench /ro.tItD Trench Spacing:— Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. _� nches
Pump Requirements: h. TDM vs.
Conditions:
Maximum Trench Depth of: 22-*� / 8 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.
T inches below pipe
2 inches above pipe
�Z inches total
**If applicable: / understand the ryrtem type rpenled is different hm, the type upeciled on the application. / accept the specilcalanr ofthis permit
Owner/Legal Representative Signature: Date:
This Cnmtrurtinn Mahnmztien i, snhien to rev .ere if the sire nlan. nhit or the intended nae rh o,,e, The ronetrurtioo Aru mintim, shall on, he rm ,f ..vd when there is a chore in ownership of the site. This
Construction Authorization is mbjea 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: /U f 7
Construction Authorization Expiration Date: /O
NTE# & r 3130 %
Permit # ZSoBa
Harnett County Department of Public Health
Site Sketch
�i „ PROPERTY LO(ATON:�C/SyG 'Fe -sq"
ISSUED TO: 3�wcw �AgA. r e60d 7 SUBDIVISIO LOT # _�
S
Authorized State Date: --l(!�
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Cksr�
Owner: Applicant: r' ^
Address: Date Evaluated:
Proposed Facility: 2"`'�� Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ,,---,,1 /� Public[] Individu ❑ Well
Evaluation Method:[Auger Boring ['] Pit [] Cut
Type of Wastewater: []'Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Sim:
[] Spring
[] Mixed
[] Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Resrr
Honz
Profile
Class
& LIAR
L
d -/2>
5L
n ,1
Z
L
0 -,?6
24
L
Description Initial Repair System Other Factors (.1946): 5
System Site Classification (.1948): I
Available S ace (.1945) Evaluated By:
System Type(s) Z Others Present:
Site LTAR L( I Y