IPACHTE# Harnett County Department of Public Health 29360
Improvement Permit
A building permit cannot be issued with only an Im rofement Permit
Al1 PROPERTY LOCATION:- y 2
ISSUED TO 1Z l 8 B Y C) /o 6cv2vtll� SUBDIVISION rQ"f � i&"24 ? _ LOT #
NEW REPAIR ❑` EXPANSION ❑ Site Improvements required prior to Co structionstruction Authorization Issuance:
Type of Structure: 2S^
Proposed Wastewater System Type: Z56/4 ZZ--QLc,�—
Projected Daily Flow: (c GPD
Number of bedrooms: T^�`Number of Occupants: (a max
Basement []Yes Cv7 No
Pump Required: ❑Yes ❑ No 12 M e required based on final location and elevations of facilities
Type of Water Supply: El Community f�blic ❑ Well Distance from well Net Permit valid for. f'Five years
Permit conditions: ❑ No expiration
Authorized State nut: G ° Date: `7—/ E,=4 � SEE ATTACHED SITE SKETCH
The issuance of this parse a Health 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 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, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be mi. Systems shall be installed in accordance
with the attached system layout. �" �T
ISSUED T0:17�fzn PROPERTY LOCATION:,fWVg9 14-7 r
SUBDIVISION I9"5� r3%Y � / LOT # �
Facility Type: U New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes LJI/No
Type of Wastewater System"` 2S% n-eeig-cw �(Initial) Wastewater Flow: f4-6 GPD
(See note below, if applicable ❑)
�^ nk.Q-„e-.e-oQ..cQ d—Repair) n`'-�-7
Installation Requirements/Conditions Number of trenches
Septic Tank Size 0O b gallons Exact length of each trench a feet Trench Spacing: Feet on Center
Pump Tank Size t c,6 o gallons Trenches shall be installed on cont% r at a Soil Cover: inches
Maximum Trench Depth of: 16 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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.
C� inches below pipe
—Z inches above pipe
1— inches total
**If applicable: / onderf and the system type spedled is different from the type spedled on the app/icadon. / accept the specilcationr 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. This
Construction Authorization is subject to compliance with the provisions of the laws and Rules for
Authorized
Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: (I —r Z —/ 7
Construction Authorization Expiration Date: c/—r Z-7. Z
HTE# / —2 ' (/C7D Z Permit # 2�J —S�'�
Harnett County Depailment of INiblic Health
Site Sketch
I PROPERTY LOCATON: s a 4-
114]
ISSUED TO: J?P1, &I /)MCS S ill �C� SUBDIVISION LOT # L4 L4
Authorized Stat Date: c/ �� Z —/-7
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOH✓SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: r"�4 f/W -5
Address: / Date Evaluated: 'l 41 -f7
Proposed Facility:- Design Flow (.1949
Location of Site:,,���� Property Recorded:
Water Supply: I�Public❑ Individual ❑ Well
Evaluation Method- [3-Abecr �BBotin�$. ❑ Pit ❑ Cut
Type of Wastewater: L ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File k:
Code:
Property Sim:
❑ spring
❑ Mined
❑ Other
P
R
O
F
I
L
E
N
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Sbuct rd
Texture
.1941
Consistence
Mineralogy
.1942
soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Chis
.1944
Resir
Horiz
�tZ
Lr
D-IZ
S,
1- 6
L -u
! 1.
s
3 , src
3s
Description Initial Repair System Other Factors (.1946):
systemsystemix S ite Classification (. 1948): PS
Available Space(. 1945) Evaluated By:��
System Type(s) Others Present:
Site LTAR /