IPACHTE# r7— N ( 021 Harnett County Department of Public Health 29370
Improvement Permit
A building permit cannot be issued with only an Improvement Permit ��/n
PROPERTY LOCATION 45 �.c�O A/)
ISSUED TO HtJn3 SUBDIVISION LOT # �I
NEW REPAIR ❑ EXPANSION ❑ Site Improvem rats required prior to Construction Authorization Issuance:
Type of Structure:'
Proposed Wastewater System Type: 235"72,
Projected Daily Flow: Li S; b GPD
Number of bedrooms: _6Z
Number of Occupants: max
Basement ❑Yes LyNo ��
Pump Required: ❑Yes El No Lt3'/Maayl a required based on final location and elevations of facilities
Type of Water Supply: El Community LSd Public ❑ Well Distance from well feet Permit valid for. &Klve years
Permit conditions: ❑ No expiration
Authorized Site Agent_: Date: y—/7 —/ SEE ATTACHED SITE SKETCH
The issuance of this permitj6 a ealth 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 provision of
the Laws and Rules for Sewage Treatment and Disposal and in conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950..1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed in accordance
with the attacked system layout ,�
ISSUED TO: i4)h'n1 l.'s)'1?Ixz Viz„ �� PROPERTY LOCATION: 2./diZZ L ' _-"44
//14
Facility Type: 25 PfL>
Basement? 1:1Yes 1T No Basement Fixture,
/ SUBDIVISION f2_47 LOT #
EO New L� Expansion ❑ Re it
❑ Yes 12 No /
Type of Wastewater System** ZS 6d
(See note below, if applicable ❑) /
25 'der lea Irl
Installation Requirements/Conditions Number of trenches 17
Septic Tank Size U gallons Exact length of each trench Ad feet
Pump Tank Size /1L,0 D gallons Trenches shall be installed on contour at a
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: Z --2 /6 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Flow: ! 8 U GPD
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover 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
Z inches total
**If applicable: / understand the system type specified is different from the type specified on the app/iwW. / accept the speciirationr of th/r permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revoation if the site plan, plat, at 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 Sewage Treatment and Disposal and to the conditions of this permit. ltt AIIALMtU lilt IRtILN
Authorized State Ag_Cnt �i �' Date: L1 —f 7,—,(7
ZLConstruction Authorization Expiration Date: Y—/7 --ZZ—
HTE# /ZZ �102
Permit # 29 3 70
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON
ISSUED TO: L(//�fi✓.ti $ �f.9"�/L �1"� SUBDIVISION LOT #
Authorized State ZX414Date: —1:7
to
f-vT�4 I pZrj D-
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: (,L1 &W &-- —
Address: Date Evaluated: I{ {�d �Z.
Proposed Facility: a� Design Flow (.1949): 1z;?_�
Location of Site: Property Recorded:
Water Supply: O ['Public❑ Individual E) Well
Evaluation Method:❑ Auger Bor' 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
& LTAR
.1941 .1941
Structure/ Consistence
Texture Minemlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (W.)
.1956
Sapro
Class
.1944
Restr
Horiz
yy7
'Ku
J,.
M
Description Initial/Repair Syst Other Factors (.1946):
S stem Site Classification 1. 1948):
Available Space (.1945) Evaluated By:
System Type(s) Others Present: �✓
Site LTAR d