IPACHTE# Harnett County Department of Public Health
29156
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�j �//PROPERTY LOCATION:3(
ISSUED � T )4MS� SUBDIVISION ��d�- �,�e a �. LOT # 15
NEW TO' _ REPAIR 0 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z1' %
Projected Daily Flow: -3 &-AZ�, GPD
Number of bedroo S: _—_sNumber of Occupants: _ max
Basement ;es ❑ No
Pump Required: Yes ❑ No ❑M e E7 required based on final location and elevations of facilities �
Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Aller.: CvtST Date: I Zi 6 —1i SEE ATTACHED SITE SKETCH
The issuance of this permit bpAe 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 to revwdon Wife 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
squired for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .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 layout
ISSUED TO: 4UmLiml PROPERTY LOCATIONx"5L1537,jnjjlt-KApfj }6 . C /c`b
SUB IYISION i� y +- w ran"zy LOT
Lh
Facility Type: SFD New
SUB
❑ Repair
Basement? ❑ Yes NiBasement Fixtures? 13Yes No
Type of Wastewater System** r�*..n 10 zz-:% Vp a — (Initial) Wastewater Flow: �� GPD
(See note below, if applicable ❑
z - (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size Oma gallons Exact length of each trench Ila '36 feet Trench Spacing:
Feet on [enter
Pump Tank Size ba gallons Trenches shall be installed on contour at a Soil (over. � Inches
Maximum Trench Depth of: ;?&" ( inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36' above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
inches below pipe
Aggregate Depth: 1- inches above pipe
/,Z- inches total
WATER LINES IIN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified it different hum the type speciled on the application. / accept the specilcadons o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, putt, ar she imended use changes. The Construction Authoriution shall not be transferred when there is a change in ownership of the site. This
lomtmctlon Aumomaeon 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
Authorized State Date:
Construction Authorization Expiration Date:
HTE# r6— 146z92- Permit #
Harnett County Department of Public Health
Site Sketch
2^ / " PROPERTY LOCATON&LITSZ O�L�tove C<F rl4N
ISSUED T0: �1 %4Zj)('�� OY�I SUBDIVISION LOT # 1
Authorized State gent G./�� Date: / Z
r-ruYrea-l—(w SC ut7jb
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOI /SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mined
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Owner: Applicant: It VV
Address:
Proposed Facility:
Date Evaluated:
t4AD Design Flow (.1949): 34:tz)
Location of Site:
Water Supply:Public❑
Property Recorded:
Individual El Well
Evaluation Method: [3
ger Boring ❑ Pit ❑ Cut
Type of Wastewater:
[-'Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mined
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(in.)
SOIL. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Clens
& LTAR
.1941
Structure)
Texture
.1941
Consistence
Minalo
er
.1942
Soil
Wetness/
Color
.1943
soil
Depth IN.
.1956
Sapro
Class
.1944
Resor
Horiz
1
L
0' l ob
Los -
�r
rd Ot 050
V,
i- SLk
Z
� s�
�•Z`�
S�
n 6��NSNP
2K—uZ
SCA—
� GS1"
3Y 'a. -t
•3S'
Description Initial Repair System Other Factors (.1946)-
System
946):$ tem Site Classification (.1948):
Available S ace(.1945) Evaluated By:
System Type(s) 2 "-`t— Others Present:
Site LTAR -