IPACFIFE # I7 yo yz5-3 Harnett County Department of Public Health 29198
Improvement Permit
A building permit cannot be issued with only an Improvement Permit ��^^
! PROPERTY LOCATION:�StLY2 i >> / �
ISSUED TO�,TIin//t� 4 `42%BDIVISION e!nA� r LOT # 'S%
NEW OT / REPAIR ❑ EXPANSION ❑ Site Improveril required prior to Construction Authorization Issuance:
Type of Structure: 75if��
Proposed Wastewater System Type:
Projected Daily Flow:L%_ GPD
Number of bedrooms:Number f Occupants: max
Basement []YesE J/ e
Pump Required: ❑Yes ElNo 14 Me required based on final location and elevations of facilities
Type of Water Supply: ❑ Community fJ Public ❑ Well Distance from well feet Permit valid for:Eir'Five years
Permit conditions:
❑ No expiration
Authorized State(`w�r( Date: —Z�Ln SEE ATTACHED SITE SKETCH
The issuance of this pemrn the nith 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 m revocati site plan, pla4 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 previsions of
the Laws and Rules for Sewage Treatment and Disposal and to conditiom of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1951, .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.
ISSUED TO: W- n) L PROPERTY LOCATION U
SUBDIVISION LOT #
Facility Type: S NewExpansion ❑ R&4ir
Basement? ❑ Yes No asement Fixtures? ❑Yes AND
Type of Wastewater System** u. .T dLo (Initial) Wastewater Flow: Carc�?d GPD
(See note below, if applicable ❑)f
Z-6-c5wfCe� (Repair)
Installation Requirements/Conditions Number of trenches �2
Septic Tank Size / j�` ;p gallons Exact length of each trench MZi, feet
Pump Tank Size 1ZQ-V— gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ) B 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. $;;� inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN[LUDING 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
1Z inches total
*If applicable: / undeniaod the r stem type W69ed is different from the type specified on the application. / accept the rpecificirtioar of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, pWt ar the intended use changes. The Comwction Authorisation shall not be transferred when there is a change in ownership of the site. This
tomtmmon Authomabon 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
Authorized State nr.�77 Date: �2 — Z�—
Construction Authorization Expiration Date: �� z� - 2?
HTE# /7—:5- Ll c)LjSS Permit # ZG/ 1 c7G
Harnett Count3T Department of 11�iblic Health
Site Sketch
���� A
PROPERTY LISION
ISSUED T0: � /,�J � ivi`i,/nyl� �'G SUBDIVISION
Authorized Statevl.�e�
p �o
M
10 0I \
pNn P#wS k
LOT #
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: l..1 ttiW �^
Address: �i Date Evaluated: 3•Z*447
Proposed Facility: 5 -C -f`, Design Flow (.1949): ,4rjo
Location of Site: aw+. Pw� Property Recorded:
Water Supply: d Public❑ Individua ❑ Well
Evaluation Method -E] Auger Bo 'Pit EDCut
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
&�LZTeAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
1tL,`i
13`3
V -20
6+2n5NY�
I
31)
3
Description Initial RepairSystem Other Factors (.1946):
S stem Site Classification (.1948):
Availabl ace(.1945) Evaluated
S stem Ty e(s) Others Present:
Site LTAR