IPACHTE# 1-7 Harnett County Department of Public Health 29172
Improvement Permit
A building permit cannot be issued with only an Improvement Permit _
PROPERTY LOCATION: / ✓�
ISSUED TO: �� �� '�+ �` r ` �� —'� ' C SUBDIVISION Q LOT # Z v —
NEW I2�' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S]`::�D
Proposed Wastewater System Ty e: 2 !- -/a, nom ----a
Projected Daily Flow: 3 Lr — GPD
Number of bedrooms: _ A Z(a�ereqtirecl
ccupants: _max
Basement ❑Yes L>3"No
Pump Required: ❑Yes ❑ No based on final location and elevations of facilities/Type of Water Supply: ❑ Community blic ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions:
❑ No expiration
Authorized State ent: L Date: 4k — i / 7 SEE ATIACHED SITE SKETCH
The issuance of this permit Kb Dealtb Deparonent in no way guarantees the issuance of other permits. The permit holderisresponsible or cheding with appropriate goveming bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Impmvement 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 constriction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in aaordance
with (he attached system layout
ISSUED T0: �U PROPERTY LOCATION
e9y7'L/
SUBDIVISION & V*:SA Gam( � LOT #
Facility Type: New�r7t/Expansion ElRepair
ElBasement? ❑ Yes No Basement Fixtures? Yes No
Type of Wastewater System** 26"'J r, na.�(Initial) Wastewater Flow: 34R— o GPD
(See note below, if applicable ❑)
7i5*2-n (cs+AJ—r (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size / b gallons Exact length of each trench �� feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 4Z�7/°J inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: ! Feet on Center
Soil Cover. riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Y inches below pipe
Aggregate Depth: 2 inches above pipe
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
/ Z inches total
**If applicable: / onderr nd the swem type rpeafred it different from the type rpeciled on the app/icalooiz. / accept the rpealcationr of thir permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to vitiation 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
construction Authonrabon IS subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit $t AI IA1.ntU lilt At0.111
Authorized Stat ent: %??�� Date: Z ' �— /-7Construction Authorization Expiration Date: Z _9 'G Z__
HTE# 17 —S' % �/ Permit # �M 72-
Harnett
2Harnett County Department of Public Health
Site Sketch
19 PROPERTY LOCATON: 12L -Z-2 / -:)—IhoiLAJesi �J
ISSUED TO: SUBDIVISION 6�/A-Z�,t�,���J LOT #
Authorized State
12 -/ 7
did
T6�� ntt-
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:1 Date Evaluated:
D
Proposed Facility: „ Design Flow (.1949):x,"
Location of Site: Property Recorded:
Water Supply: _/ Public❑ Individual ❑ Well
Evaluation Method:�J At g ❑ Pit E] cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position,
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941PROFILE
OTHER
FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
soil
Wetness/
Color
.1943
soil
Depth IN.
.1956
Sapm
Class
.1944
Restr
Horiz
Description Initial Repair System Other Factors (.1946):
Sy
stem Site Classification (.1948):
Availab(.1945) Evaluated y:
9-2—
§_y
Others Present:stem
Site LTAR