IPACHTE# {i—S-- 14 102-2 Harnett County Department of Public Health 29371
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: `i t/t—/
ISSUED T0: Cv tJAWt Jr a -- DC— SUBDIVISION 6kLe-.e a LOT # 6-5—
NEW REPAIRED EXPANSION ❑ Site Improve nts required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Ty e:
Projected Daily Flow: S I U GPD p
Number of bedrooms: Number of Occupants: !� max
Basement []YesNC} o
Pump Required: ❑Yes ❑ NoL7�MaY' be required based on final location and elevations of facilities
Type of Water Supply: El Community L7 Public ❑ Well Distance from well feet Permit valid for. W Five years
Permit conditions: ❑ No expiration
Authorized State en GI9 CS!/ ' Date: % �7 —�� SEE ATTACHED SITE SKETCH
The issuance of this permit the 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 requirement. 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 criminal and to conditions of this permit.
Construction Authorization
Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951..1954, .1955, .1956, .1957, .1956. 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:J'4"W e 54t-wcA-49,... 3w'-- PROPERTY LOCATON:A2)Ci 2 7 P-ln
SUBDIVISIONLOT
Facility Type: _ 9 New [j -Expansion ❑ Re it
Basement? ❑ Yes No Basement Fixtures? ❑ Yes &3 No
Type of Wastewater System" 256dyIn jial) Wastewater Flow: `4 GPD
(See note below, if applicable ❑
Installation Requirements/Conditions Number of trenches 2)
Septic Tank Size '111-04" gallons Exact length of each trench /Oa feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ;4' inches
Maximum Trench Depth of ZZ—>/ 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: (t. TDH vs. GPM inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: inches total
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.
""If applicable: / understand the system type speciled is different from the type specified on the app/nation / accept the spec/!talons of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revontion if the site plan, plat or the intended use changes. The Commuction 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 Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ageht:- /Z� Date: 't — I Z— f%
Construction Authorization Expiration Date: Ll — 12 -7,2
NTE# -7 'S ' '1/,/) ZZ Permit # o? g3 :7/
Harnett County Department of Miblic Health
Site Sketch
/ I q_�_// PROPERTY LOCATON: 7 �i T h-010- .e�
ISSUED TO: 111 fAJ C.OJaD7l�UGf7Gl� :x SUBDIVISION LOT #
&/
5
Authorized Stat gent: Date: �% '/Z —/-7
W'
5PT--,
(0o
3ID
r 7 T)4
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 Q.� X_11�
Address: / Date Evaluated:
Proposed Facility: Design Flow (A 949)17-4W
Location of Site: Property Recorded*
Water Supply: ablic❑ Individual ❑ Well
Evaluation Method:[] Au r BonPit ❑ Cut
Type of Wastewater: ewage ❑ 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 (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
t/J
1 51,
D /8
SL
✓LN3�
45-
Description Initial Repair Syste Other Factors (.1946):
S stem Site Classification(.] 948): Ps
Available Space (.1945) U1, Evaluated By:17,
System Type(s) Others Present:
Site LTAR r