IPACHarnett County Department of Public Health 29352
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ /- PROPERTY LOCATION :aZ LSrY�i9f�bv�s1.S !Z�
ISSUED TO: eAIL5 15//-) 6, SUBDIVISION _ r S 14= ,P LOT #_J,57—
NEW F.K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Con uction Authorization Issuance:
Type of Structure: 7% +�
Proposed Wastewater System Type: Zs-d3o
Projected Daily Flow: O GPD
Number of bedrooms: ;�Puetific
Occupants: --& ---Max
Basement Dyes No
Pump Required: ❑Yes ❑ No required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State ent G Date: e� ft-- p`�f SEE AIIACNED SITE SKETCH
The issuance of this penni Health Depamnent m no way guarantees the issuance of other permih. The permit holder is responsible for checking with appropriate governing bodies in meting 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 in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The canstrumon and installation requirements of Rules .1950, .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: 91; / a '0Z PROPERTY LOCATI N:
SUBDIVISION L�/�� L/�t.�� LOT #
Facility Type: �7Ew El SUBDIVISION
El Repair
Basement? ❑ Yes No Basement Fixtures? es ❑ No
Type of Wastewater System" — (Initial) Wastewater Flow: d GPD
(See note below, if applicable ❑)
.5- (Repair)
Installation Requirements/Condifjons Number of trenches
Septic Tank Size /U O gallons Exact length of each trench feet
Pump Tank Size i 1.6p_ gallons Trenches shall be installed on contour at a
7" Maximum Trench Depth of.. /0 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDH vs. GPM
Conditions:
Trench Spacing: r Feet on Center
Soil (over: S�- inches
(MaximumsollTcoTTver shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
— inches above pipe
inches total
""If applicable: / undeatand the system type speriled ii different ff0m the type spec/led on the app/ration. /accept the specificatioar of this permit
Owner/legal Representative Signature: Date:
This construction Authorization is subject to revocation if the sire plan, plat or the intended use changes. The Conswction Authorization shall not be transferred when there is a change in ownership of the site. This
cansurumon numonzaaon is subject to compliance with the provisions of the Laws and Rules forSewageTreatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State /c r, ��te: L-11" —12 —/ %
Construction Authorization Expiration Date: Y —/7_ —7��
HTE#II- gd,�7q
Permit # % 9 3 5 ?--
Harnett
Harnett County Department of 11ciblic Health
Site Sketch
�" PROPERTY LOEATWN etwj tet- /95<3ISSUED TO: s�/D ,�jD_ SUBDIVISION 4-77<56,7Z 4" LOT # 5:5—
Authorized State A Date: Y-12 -a, 7
v
J
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: ('aLfP�!
Address:s� I Date Evaluated:
Proposed Facility: Pk 1' Design Flow (.1949): OVi0
Location of Site:�✓ Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: Auger B g El pit F1 cut
Type of Wastewater: ri 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
Soil
Depth (IN J
.1956
Sapro
Class
.1944
Restr
Horiz
Description Initial Repair SOther Factors (.1946):
S stem ystem Site Classification (.1948
Available Space (.1945) V I se Evaluated
System Type(s) Others Present.
Site LTAR
A