IPACHTE# �`-K -x-59 Harnett County Department of Public Health 29084
Improvement Permit
A building permit cannot be issued with only an Improvement„Pe��tL1t
PROPERTY LOCATIOer_1N� �IZ
ISSUED TOjti&dN01J�Dl�/ SUBDIVISION NC,T�L�jti.., LOT #
NEW REPAIR ❑_ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _5 j� A
Proposed Wastewater Systeem T;ry : 2'a
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: __.max
Basement ❑YesNo
Pump Required: es ❑ No ❑Ma required based on final location and elevations of facilities ,,
Type of Water Supply: 13 Community Iblic El Well Distance from well feet Permit valid for. LTFne years
Permit conditions: _ ❑ No expiration
Authorized Date: /D - / 9 —/ (. SEE ATTACHED SITE SKETCH
The issuance of this permit the alth 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 a revoca re sire 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 provision of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
Reouired for Building Permit
The construction and installation requirements of Rules .1958, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accardance
with the attached system layout
ISSUED TO: PROPERTY LOCATION:i��.
SUBDIVISION / S LOT #J}
Facility Type: 2' New ❑ Jxpansion ❑ Repair
Basement? ❑ Yes No, Basement Fixtures? ❑ Yes s No
Type of Wastewater System*” _
(See note below, if applicable ❑)
Installation Requirements/Conditions
Septic Tank Size 7APAaQ �— gallons
Pump Tank Size �f) gallons
Number of trenches Z
Exact length of each trench JS -y feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: -,7Z—
)4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
(Initial) Wastewater Flow: 360 GPD
Trench Spacing:Feet on Center
Soil Cover. inches
(Maximum soil co er shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
7-- inches above pipe
/% . inches total
**If applicable: / understand the tyxiem type rpedfled it different Iron the type spedfed on the application. / accept the speahcationt of th/r 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 he transferred when there is a change in omnenhiD of the site. This
tonstmcnon wthonrauon is subject to compliance with the provisions of the laws and Rules Mr Sewage Treatment and Dispo I and to the conditions of this permit )tt RI If0.N[U 511t MILK
Authorized State ens: C _ Date: /0 /°+
Construction A thorization Expiration Date: /O — /S —Z/
HTE# /vS " .psi
ISSUED TO:
Permit # 2%o & y
Harnett (bounty Department of niblic Health
Site Sketch
LOT #
Authorized State A enE ,w� Dater /ia
C__fVr / /L) Z) g4,!/ -7 / `+ J
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOII✓SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility:.G r<h1 Design Flow (.1949):�i
Location of Site: t) "'' Property Recorded:
Water Supply: ❑Public❑ Individual ❑ Well
Evaluation Method: CJ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 8 -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOI, 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
IN.
.1956
Sapro
Class
.1944
Rem
Hwiz
Profile
Class
& LTAR
1/,L
l.'�-7a
y
w
3Y- N -.
Description Initial Repair Sys em Other Factors (.1946):
system 7 Site Classification (.1948): P5P
Available S ace (.1945 Evaluated By:
System Type(s) Others Present: lJ
Site LTAR