IPACHTEq6 Y31 Harnett County Department of Public Health 29174
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: l�
ISSUED TO: LLn %c�ia tiQl SUBDIVISION 9� LOT # In
NEW REPAIR 0EXPANSION 11Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System T pe:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: _�� max
Basement []Yes o
Pump Required: []Yes ❑ No LXNa equired based on final location and elevations of facilities
Type of Water Supply: ❑ Community C3 Public ❑ Well Distance from well feet Permit valid for. ears
Permit conditions: ❑ No expiration
Authorized State enr Date: 2 ' /-7 SEE ATTACHED SITE SKETCH
The issuance of this permit b th lealth Department in no way guarantees the issuance of odmr permits. The permit holder is responsible for checking with appropriate goveming bodies in meeting their requirements. This
site is subject m 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 Perm jt)
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .19SR. 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 T0: c PROPERTY LOCA ON:64—/q 3-7
SUBDIVISIONLOT # 13—'11
Facility Type: New E/ Expansion ❑ Repair
Basement? ❑ Yes Y No Basement Fixtures? ❑ Yes Ld'No
Type of Wastewater System** wr-e (Initial) Wastewater flow: GPD
(See note below, if applicable EI)�--� / A _ _y „ �
Septic Tank Size , d&x0 gallons
Pump Tank Size / 04 '�l gallons
Pump Requirements: it TDM vs.
Conditions:
Number of trenches
Exact length of each trench —�96 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Aa inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. �nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
Inches above pipe
inches total
**If applicable: / onderstav9d the system type spedled is different from the type specified on the app/icatioa / accept the specifications o/ this perm&
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it the site plan, plat, or the intended use changes. The Construction Authonzation shall not be transferred when there is a change in ownership of the site. This
Lonstmctmn Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit )tit AI IALMtU lilt lKtILM
Authorized State A t: 15 Date:
Construction Authorization Expiration Date:
HTE# --5-- Permit # �2� /
Harnett County Department of 11�tblic Health
Site Sketch
/ PROPERTY LOCATONr5U'1.37 XJ -i; %?/6
ISSUED T0:/ Un./� uSUBDIVISION 4,% LOT # j
Authorized State Ent Date: 2-
r—�
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: t---—'
Address: Date Evaluated: Z'
Proposed Facility: _a_� Design Flow (.1949): 3_&b
Location of Site: Property Recorded:
Water Supply: Eljtttllrlc Individual ❑ Well
Evaluation Method: uger �B9ring ❑ Pit ❑ Cut
Type of Wastewater: 0 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(Ln.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Rear
Horiz
-fit
✓
db '�
4
W -3L
Z4"
, 3
Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):2
Evaluated By:J14� ,
u-xOthers Present: ` _
M.