IPACHTE#�C)Lz�t Harnett County Department of Public Health 29173
Improvement Permit
A building permit cannot be issued with only an Improvement Permi
�x� PROPERTY LOCATION:_ A % /-40ISSUED TO: � U n c12e ray �T ?Y.�y TTL SUBDIVISION a�$n:.� Kaci t'l�L LOT #
3.
NEW Eir REPAIR ❑ �+,,� EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: e"l�
Proposed Wastewater System Type: 2S�%
Projected Daily Flow: "�(db GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes
Pump Required: ❑Yes ❑ No IQ Ma required based on final location and elevations of facilities
Type of Water Supply: ❑ Community C2 Public ❑ Well Distance from well feet Permit valid for. Plivoyears
Permit conditions: ❑ No expiration
Authorized State A t: Date: Z—/0— ! —7 SEE ATTACHED SITE SKETCH
The issuance of this perm th 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 th to 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1950. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layouts
ISSUED TO: C"e' '�`� /f0*-�� �i`rG PROPERTY LOCATION>1P<-'ZZ/-9-
SUBDIVISION .!!mac PLS LOT# .7
Facility Type: Z New ❑ pansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ler No c
Type of Wastewater System** 2�� IZa�� 5Z(Initial) Wastewater Flow: ED <-2) GPD
(See note below, if applicable ❑)
2--�%v / -- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size VO gallons Exact length of each trench Z feet
Pump Tank Size GLIM gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: / J?)_ inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: N. TDM vs. GPM
Conditions:
Trench Spacing: --Z— Feet on [enter
Soil Cover: raw— 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.
inches below pipe
7 inches above pipe
inches total
If applicable: / undendnd the ryrrem type tpeciled it different ham the type rpeciled on the application. l accept the rpecAcationr of this permit
Owner/legal Representative Signature: Date:
This construction Authoriaation is subject to revocation if the site plan, plat or the intended use changes. The Comvuclion Authorization shall not be transferred when there is a change in ownership of the site. This
tommctlon 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 SEE ATIACBED SITE SKETCH
Authorized State /" fAr(.e�r� / TDate: Z —/&L— 1-7
Construction Authorization Expiration Date: 71
NTE# (-7— 'S-- '4 0
Permit # —G / 3
Harnett County Department of Public Health
Site Sketch
�! / PROPERTY LOEATON:-%t a71
ISSUED TOC�U��r/ a�SUBDIVISION 94 et2j kt4— t, ks-Q�zdCcn„ LOT #
�/ i�z<'rvs
Authorized State t: Date: L-16 -/7
v.1
5�-3
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIArrE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant
Address: Data Evaluated: 2' �`/ V J
Proposed Facility: 5v -,b Design Flow (.1949): Z
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:❑—ALgaBoring ❑ Pit ❑ Cut
Type of Wastewater: ❑jJewage ❑ Industrial Process
R
O
F
SOIL MORPHOLOGY
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
OILER
E
#
I
landscape
Slope%
L
.1941
Horvam
Depth .1941
(In.) Shuctme/
Texture
o -IB SL.
-PROFRE FACTORS
.1942
.1941 Soil .1943 .1956
Consistence Wetness/ Soil Sapw
Mm Color Class
.1944 Profile
Rear Class
Horiz & LTAR
.7
r. -
Description Initial Repair System Other Factors (.1946):
S Site Classification (.1948):
Available S e(.1945 Evaluated By:
—Sy—SIM i s Others Present:
Site L7 AR