IPACHTE# 1"2--' j409 go Harnett County Department of Public Health 29358
Improvement Permit
A building permit cannot be issued with only an Impr veme permit Q�
��77 PROPERTY LOCATION:71k tt/c//
ISSUED TO:.�bt v4i DA -k --S $1 D 6 SUBDIVISION /+-11—k A.S cJ4=p�r LOT #
NEW Ci REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
D—�
Proposed Wastewater System Type: -?—'5�
Projected Daily Flow: GPD
Number of bedrooms:
Number (Occupants: �' max
Basement []Yes
No
Pump Required: ❑Yes
❑ No M�be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community IJ Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
9 Five years
❑ No expiration
Authorized State en f� Date: SEE ATTACHED SITE SKETCH
The issuance of this permit b e alth Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation i ie sire plan, plat or the intended use changes. The Improvement Permit shall not be a8eved•by a change in ownership of the site. This permit is subject to comphame with the pmvisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The concoction and installation requirements of Rules .1950, .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: &HAZQZ PROPERTY LOCATION:
SUBDIVISION 4-YiTe� s��t Q La—r� LOT #
Facility Type: d New Expansion ❑ Repair
Basement? ❑ Yes ler No Basement Fixtures? ❑ Yes Ld No
Type of Wastewater System** Wastewater Flow. -3404-'s GPD
(See note below, if applicable ❑)
R' �Tc —�s— (Repair)
Installation Requirements/Conditions Number of trench
Septic Tank Size 1 C90 O gallons Exact length of each trench/n r/L feet
Pump Tank Size 1060 gallons Trenches shall be installed on cont r at a
Maximum Trench Depth of: o inches
(Trench bottoms shall be level to +/-I/4"
in all directions)
Pump Requirements: (t. TDH vs. GPM
Conditions:
Trench Spacing: 'T Feet on (enter
Soil (over. �nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING 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
Z inches above pipe
/ 2 inches total
**I( applicable: / understand the ystem type roeciled /r different from the type specified on the appfica#on. / accept the specih'cationr of this permit.
Owner/Legal Representative Signature: Date:
This Consmutlion Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be tnnsfemed when there u a change in ownership of the site. This
Lonswcton Authorization is subject to compliance with the provisions oofftthe
�Lam and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ag'ht:f �/i �— Date: / Z / %
Construction Authorization Expiration Date: i —t Z_ —z7
HTE# )7-s- U 0'?ev
ISSUED
Authoriz
Permit # �1
Harnett County Department of 1- iiblic Health
Site Sketch
PROPERTY LOCATON: Yo
SUBDIVISION 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: go,,,
�%'J` ""t TEL'+ 4 I
Address: Date Evaluated: y -1 W -1 %
Proposed Facility: Design Flow (.1949): 3(0,v
Location of Site: Property Recorded:
Water Supply:/ [31uublic❑ Individual E] Well
Evaluation Method:0 Auger�Boo ng El Pit El cut
Type of Wastewater: - Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
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
e th(IN.
Depth (IN .
Sapro
Class
.1944
Restr
Horiz
L
LPi
a '/$
K6�dsn1P
ye
-�"" a{.
3`"`z
JZ4
w
d Slat-
r
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1945): ? j
Available Space (.1945) Evaluated By
System Type(s) Others Present:
Site LTAR