IPACHTE# L —�z�73 Harnett County Department of Public Health 29351
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
Authorized Stater y— ! 2 --1-7 SEE ATTACHED SITE SKETCH
The issuance of this permit 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 m revocation d 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 .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.
ISSUED T0:5 AO&/p PROPERTY LOCATION:1 /%�
SUBDIVISION LOT #
Facility Type: �Ri ,Cd New ❑/expansion ❑ Repair
Basement? El Yes No Basement fix es? 11 Yes Eit o
Type of Wastewater System" — (Initial) Wastewater Flow: _ GPD
(See note below, if applicable ❑)
F--& /it - y�—t ++n (Rep .
Installation Requirements/Conditions Number of trenches
Septic Tank Size T7� gallons Exact length of each trench � feet Trench Spacing: Feet on Center
Pump Tank Size 44 gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: /4e inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: (t. TUN vs. GPM
Conditions:
(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.
inches below pipe
inches above pipe
/Z inches total
If applicable: / undevrtand the ryrtem type rpeciled it diKerent !cons the type rpecifled on the app/itatian. / accept the rpecilcationr of permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoation 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
eonstmction Autnunnnon 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 AI IACHED SITE SKETCH
Authorized State A ent: Z Z< d --40—iDate: % r 2 —r 7
Construction Authorization Expiration Date: y —!7_ — 2,7 .
�5
PROPERTY LOCATIO c
S
ISSUED TO: 9034h-'.�
2311 (a.c_aftsl, SUBDIVISION $
Q LOT #
NEW f
REPAIR
EXPANSION 11 Site Site Improvements required prior to Cons ruction Authorization Issuance:
Type of Structure:
Proposed Wastewater System TYe:
a
Projected Daily Flow:
�i
GPD
Number of bedrooms:
Number of Occupants: G max
Basement []Yes
No
Pump Required: ❑Yes
❑ No
Z Ma a required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
Public ❑ Well Distance from well feet
J/
Permit valid for. VJ Flve years
Permit conditions:
❑ No expiration
Authorized Stater y— ! 2 --1-7 SEE ATTACHED SITE SKETCH
The issuance of this permit 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 m revocation d 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 .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.
ISSUED T0:5 AO&/p PROPERTY LOCATION:1 /%�
SUBDIVISION LOT #
Facility Type: �Ri ,Cd New ❑/expansion ❑ Repair
Basement? El Yes No Basement fix es? 11 Yes Eit o
Type of Wastewater System" — (Initial) Wastewater Flow: _ GPD
(See note below, if applicable ❑)
F--& /it - y�—t ++n (Rep .
Installation Requirements/Conditions Number of trenches
Septic Tank Size T7� gallons Exact length of each trench � feet Trench Spacing: Feet on Center
Pump Tank Size 44 gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: /4e inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: (t. TUN vs. GPM
Conditions:
(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.
inches below pipe
inches above pipe
/Z inches total
If applicable: / undevrtand the ryrtem type rpeciled it diKerent !cons the type rpecifled on the app/itatian. / accept the rpecilcationr of permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoation 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
eonstmction Autnunnnon 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 AI IACHED SITE SKETCH
Authorized State A ent: Z Z< d --40—iDate: % r 2 —r 7
Construction Authorization Expiration Date: y —!7_ — 2,7 .
HTE# /'/— -901 —7 3
Permit # 29 3 S /
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:,I `QYW 1477<�-7—Al- S 02p
ISSUED TO: Ax�/��5 g/Dlv �ir../JSUBDIVISION %�7i�iJ S Ze-Zl, tz LOT # —73
_ T /1—
Authorized
4lr
Date: y— iz —/7
fit be--
5'+
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
SOIL/SITE EVALUATION
for ON-SITE
Owner:
Address:
Proposed Facility:
WASTEWATER SYSTEM
Applicant: v'4_
./' Date Evaluated: q -10--f7
/�� Design Flow (.1949).d<'5j>
Location of Site:
Water Supply:
Evaluation Method:
�� Property Recorded:
�/ � I/t lic❑ Individual ❑ Well
Auger Bo ' ❑ 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN . I
Sapro
Class
.1944
Restr
Horiz
SL
�
yu,
ti
36�`b�
3i
3
io
v�
o
. P
rd
f�y
Description Initial Repair S Other Factors (.1946):
System Site Classification (.1948): S
Available Space (.1945) Evaluated By j
System Type(s) Z
Others Present:
Site LTAR