IPACHTE# 11-5-- y C>7 Harnett County Department of Public Health 29191
Improvement Permit
A building permit cannot be issued with only an Improvems
PROPERTYLOTATION:Zx 1 ent P/Zermitn�.ri�JSintA
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ISSUED T0: CEJ ��=�/`/ v �jGyE�sC SUBDIVISION LOT # _[z
NEW ❑ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: ?!t( G
Number of bedrooms: _-4S Number, of Occupants: max
Basement ❑Yes N No
Pump Required: ❑Yes ❑ No Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Lot five years
❑ No expiration
Authorized State Asiot- Date: 3— % �/ SEE ATTACHED SITE SKETCH
The issuance of this permit bL ealth 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 provisions of
the laws and Rules (or Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .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. n /T—n
ISSUED TO: _ �.✓.� ��[ _ PROPERTY LOCATION'r��y/YD� /�/1
/ SUBDIVISION LOT # 6,
Facility Type: Iii New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" ZS% . 4a « t,— f;z 54 (Initial) Wastewater Flow: 3(i -.>b GPD
(See note below, if applicable ❑
(Repair)
Installation Requirements/Conditions - Number of trenches
Septic Tank Size Qe5 gallons Exact length of each trench /e0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. � inches
Maximum Trench Depth of: 22-�p1S inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDR vs. GPM
Conditions:
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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: / understand the system type specified is different from the type specified on the application. / accept the rp &jitioner of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation 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. Thu
construction Authorization is
Authorized State
with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Date: -2>--7 — 1 —7
Construction Authorization Expiration Date: -&--1 — 7_ Z
HTE# I�I—t — Permit # 19l9Z
Yf,Mijett County Department of Public Health
ISSUED TO:
Authorized
Site Sketch
OPERTY LOCATOV=-rf YZ)
SUBDIVISION LOT #
/ 4 / %
/�'� fW��— "� �2 �� �"`A�2��S —tel`' ��✓�'—J��
-70,
PL1-844- 1 I
sv ttF Z+ 1) ,�A 4- r 17-'
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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:
Proposed Facility: Design Flow(.] 949):"3"
Location of Site: Property Recorded:
Water Supply: Public❑ individual E] Well
ri� P
Evaluation Method:❑ Auger-�Boit ❑ 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth(IN J
.1956
Sapro
Class
.1944
Restr
Horiz
(72
�6 u�
as
aw,2�
.�
�Yu
6b
Lp"
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available S ace (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR