IPACHTE# Harnett County Department of Public Health
29155
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
Q PROPERTY LOCATIOU: VJ Ifb -V nT ✓Ll)
ISSUED iTO, h a i fJ/ Ail—a4 Yin N f SUBDIVISION LOT # Z—
NEW E;K REPAIR ❑ EXISANSION EV Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF— 12)
Proposed Wastewater System Type: OEifAb 11l
Projected Daily Flow: 3 . GPD
Number of bedrooms: 3 Number of Occupants: % max
Basement ❑Yes LAS No
Pump Required: ❑Yes ❑ No 2 May be required bald on final location and elevations of facilities
Type of Water Supply: ❑ Community El Public Id' Well Distance from well 14Q feet
Permit conditions:
Permit valid for.
Ler Five years
❑ No expiration
Authorized State ent:: -- Date: / Z-- (O — /(i SEE ATTACHED SITE SKETCH
The issuance of this An Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revoati i the sin 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 On conditions of this permit.
Construction Authorization
Reouired for Building Permit
The construction and installation requirements of Rules .1958, .1953, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layyoout., ��
ISSUED TO:yd/tN &!;g&' IVIYPROPERTY LOCATION: ZX-)S10,STS�7kaf.' 7-0
SUBDIVISION LOT # Z
Facility Type: �� l� New ❑lExpansion 13Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 12 No
Type of Wastewater System** (Initial) Wastewater flow: —Vz0 GPD
(See note below, if applicable ❑),.,
" (Repair)
Installation Require menti/Conditions Number of trenches _3
Septic Tank Size �/ 01V) gallons Exact length of each trench f O D feet Trench Spacing: feet on Center
Pump Tank Size gallons
Pump Requirements: h. TDM vs.
Conditions:
Trenches shall be installed on contour at�o
Maximum Trench Depth of: Zo 2� inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Soil Cover. — 'inches
(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.
6 inches below pipe
7 inches above pipe
/Z inches total
"If applicable: / understand the ryrtem type tpeciked it different from the type >pedfed on the app/ia on. / accept the rpedlrrdonr of thin pefmit.
Owner/Legal Representative Signature: Date:
This Constructian Audiorieation is subject to revocation if the site plan, plat or the intended use changes. The Concoction Authorization shall not be transferred when there is a change in ownership of the sin. This
lonstm bon Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized Stat r2f%/oiS Date:
Construction Authorization Expiration Date:
NTE# *2-0 ?-)
Hainett Count}
-
Permit # 29 % SS—
Department of Public Health
Site Sketch
PROPERTY LOCATON:,/L /,0)/0 .57W1t7t,7-1tiS
ISSUED TO: J �Qy�JcSUBDIVISION LOT At Z
Authorized State ent: Date: 2
r
W
6
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: qav"*�'
Address: 1r� Date Evaluated: )� L
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: [' public❑ Individual ❑ Well
Evaluation Method:13—Xuger�l9or�in ❑ pit C3 cut
Type of Wastewater: LiSewage ❑ 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
#
Positiow
Slope %
Depth
(In. Structure!
1941.1942
.1941
Consistence
Soil .1943 .1956
Wetness/
.1944 Profile
Texture Mineralo
Sod Sapro
Color D th IN. Class
Restr Class
Horiz & LTAR
V
Yo
_Cr
do It
e
3 `I
Description
Initial
Repair System
Other Factors (.1946):
Available
S stem
}�
Site Classification ): I
48)
S ace .1945)
System T s)
Evaluated
ted B
Site LIAR
�G'i—
_ _ _
Others Present: