IPACHTE#� -�i Harnett County Department of Public Health 29377
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:SL/yam
ISSUED T0: SUBDIVISION LOT # 4,3
NEW 5 REPAIR ❑ EXPANSION ❑ Site Imp ments required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: i�14�ir. est. , -
Projected Daily flow: GPD Q
Number of bedrooms: --— Number f Occupants: S max
Basement ❑Yes Ei No
Pump Required: ❑Yes ❑ No L�1 Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community � ❑ Well Distance from well feet Permit valid for. ive years
Permit conditions: ❑ No expiration
Authorized S e Agent: / Date: z4 --2r9— —/ :::7 SEE ATTACHED SITE SKETCH
The issuance of this permit 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 to revoati VAe 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 proyisiom of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permjt)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with she attached system layout. ��yy��
ISSUED T0: C PROPERTY LOCATI01 �I�% JZb
SUB IVISION LOT # 63
Facility Type: New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System**��� 13 n Z,�T ��/ Anitial) Wastewater Flow: �i8d GPD
(See note below, if applicable C , / ,,A n 1
Installation Requirements/Conditions 6
Septic Tank Size 17-" gallons
Pump Tank Size 4 Zo6 gallons
Pump Requirements: ft. TDH vs.
Conditions:
Number of trenches _-�3
Exact length of each trench /66 feet
Trenches shall be installed on contour at a
Maximum Trench Depth oL• Z2-2�2 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing:— feet on Center
Soil (over: inches
(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
inches total
**If applicable• / understand the rystem type specified it different from the type specified on the application. / accept the specifications o/this permit
Owner/legal Representative Signature: Date:
This Conduction Authorization is subject to revocation if the site plan, plat or she imended use changes. The (onswnion Authoriatibn shall not be transferred when there is a change in ownership of the site. This
tonammon Aumonzation 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 ent: Date: H-7lS i
Construction Authorization Expiration Date: ^-Z L
HTE# Z7 5 ! Nzo Permit # 2q 377Z
Harnett County .Department of Public Health
Site Sketch
ISSUED TD: PEUB LDCATO
SUBDIVIS ON t
Authorized State �15 /
Date: Ll —
3Ly
W
xt4X& i)j2
0
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 64jrVlJ
Address: Date Evaluated: %
Proposed Facility: 5 Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: �ablic❑ Individual El Well
Evaluation Method:❑ Auger Boring Ekrtt ❑ Cut
Type of Wastewater: EJ-Sevrage ❑ 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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Resu
Horiz
Description Initial Repair Syste Other Factors (.1946):
Sys te Site Classification (.19
48)'Available Space (.1945) Evaluate
S stm T e(s) Others Prd7S
Site LTAR