IPACHTE# I'1- '— N o54�3 Harnett County Department of Public Health 29180
Improvement Permit
A building permit cannot be issued with only an Imrovement Permit
�
/ \ PROPERTY LOCATIONi9L3 C.e� rt...� 2r)
ISSUED TO: fO,JS L. SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �r
Proposed Wastewater System Type: 7�,n ice. noe j—_
Projected Daily flow: GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes ff No
Pump Required: ❑Yes ❑ No Ma required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Ive years
Permit conditions: ❑ No expiration
Authorized Stat Date: Z— Z Z 1-7 SEE ATTACHED SITE SKETCH
The issuance of this permit botellealth 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 if the 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 provisiom of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permiL.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .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 layout. I
ISSUED TO: T—e•J C PROPERTY LOCATiomFSI r2 UUP sr> jt �1l 1
SUBDIVISION LOT #
Facility Type: Lil New ❑l Expansion El Repair
Basement? ED Yes No Basement Fixtures? ❑ Yes R No
Type of Wastewater System"2S de f aJbl^� �s ;—r (Initial) Wastewater
(See note below, if applicable ❑) or
Z�(Repair)
Installation Requirements/Conditions Number of trenches -�->
Septic Tank Size 16 [SIS gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 164- feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. / 'I " inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
GPM
Flow: 3�- v GPD
Trench Spacing: C Feet on Center
Soil Cover. inches
(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.
4- inches below pipe
Z inches above pipe
/L inches total
**If applicable, / understand the syrtem type spea§ed is different from the type speir6ed on the application, l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authontation is subject to revocation if the site plan, plat, or the im ended use changes. The as on Authoritation shall not be mand when there is a change in ownership of the site. This
Construction 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 ATTACHED SITE SKETCH
V Authorized Stateli
Pnt _ a Date: Z --Z7--1
Construction Authorization Expiration Date: ?—ZZ— Z/
HTE# II- S— 40s8
Permit # 9 1 B O
Harnett County Department of 1'�iblic Health
Site Sketch
PROPERTY LOEATON!�L_/7M
ISSUED TO: �rVG' SUBDDIIVISSIION� LOT #
Authorized State
CA, A,' Mtll TD
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: Date Evaluated: 2G _ !7
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: uger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑,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
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth IN.
Sapro
Class
.1944
Restr
Horiz
2
(`,
42— 0
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
AvailableS ace (.1945) Evaluated
System Type(s) /'3. Others Present: 47
Site LTAR