IPACHTE# — oc 7-A, Harnett County Department of Public Health 29098
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
Q -PROPERTY LOCATION: OSOI is
ISSUED TO- /t/7U�—�gDIVISION �r e��- LOT # T
NEW REPAIR ❑ E ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF::p
Proposed Wastewater Syslte� TT e: �
Projected Daily Flow: �sY�O GPD
Number of bedrooms:`�' Number of Occupants: max
E?'
Basement ❑Yes No
Pump Required: ❑Yes ❑ NoMa required based on final location and elevations of facilities
Type of Water Supply: ❑Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Aged_ / Date: 1 t ' u ! (r SEE ATTACHED SITE SKETCH
The issuance of this permit b e 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 a 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 insrallabon requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .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 /7
ISSUED TO: )U&Jbl a��� d P�GC�tC� PROPERTY LOCATION: ZSZ..Jn0Fo
/ SUBDIVISION LOT # I
Facility Type: r5� C3 New ❑�xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2f No
Type of Wastewater System" 2-60% (Initial) Wastewater Flow: qSO GPD
(See note below, if applicable ❑)
r1'
(moi f (Repair)
Installation Re uir m is/Conditions
Number of trenches 3
Septic Tank Size
Exact length of each trench 100 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 2'4E --) 1 J inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TOM vs.
GPM
Conditions:
Trench Spacing: 7 Feet on (enter
Soil Cover. 142 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
12-- inches total
"II�olicable: / understand the system type speciled it different from the type spedled om the app/icaderz. / accept the rpeaficadonr o/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 change in ownership of the site. This
temuuctmn Autlmnzahon is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AIUI.tItD lilt )RUIN
Authorized State Da : /! — 24 —GL
Construction Authorization Expiration Date:
HTE# ) 6 " a�-7 S Permit # 21; O 9 9
Harnett County Department of Public Health
Site Sketch
ISSUED T0:
Authorized
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G.
tA) CaT,4"- co ox --T-
I
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): �j
Location of Site: C��Y� Property Recorded:
Water Supply: ublic❑ Individual E3 Well
Evaluation Method: ugerBoring ❑ pit ❑ Cut
Type of Wastewater: wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
SOIL MORPHOLOGY
OTHER
L
.1940
Landscape
Horizon
.1941
PROFILE FACTORS
E
Position
Depth .1941.1942
.1941
Soil
#
Slope%
(N.) Structure/
Consistence
.1943 .1956
Wetness/ Soil
.1944 Profile
Texture Mineralo
Sapro
Color D th IN. Class
Restr Class
Hotiz & LTAR
0 2L) L
Zo ,%t �L—
J
LZ✓
V��U
.✓, K liy
qJ/
C'Ytl SLC_
SSS('
1/N�3y~
Description
Initial
Repair System Other Factors (.1946):
S stem
Site Classification (.1948)(
AvailableS
.1945)
S stem T e(s)
7
�-.
Evaluated By:
Site LTAR
- �
Others Present: