IPACHTE #_ 12-1 q Harnett County Department of Public Health 29383
Improvement Permit
A building permit cannot be issued with only an Improvement Permit _ �J
PROPERTY LOCATION" .6%(2C —d 14)
ISSUED TO: � SUBDIVISION LOT #
NEW IR'REPAIR O EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: to max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Ler five years
❑ No expiration
Authorized Stateent:: ate: 5 —T—' C? SEE ATTACHED SITE SKETCH
The issuance of this permit the alth 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 revocationw; 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 to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1957, .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: PROPERTY LOCATION: -Z5;(— /-70 O Ili f=atiat tr tsa,,..SZ A4 i,
SUBDIVISION LOT #
Facility Type: Nev Expansion ❑ Repair
Basement? ❑ Yes Qf No Baz��ent�c to p El Yes No
Type of Wastewater System" _05Z '4> /)La�i5 (Initial) Wastewater flow: 3LVO GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches Z.
Septic Tank Size 1660 gallons Exact length of each trench / 5 D feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: ZZf4?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: h. TDM vs. GPM aP inches below pipe
Aggregate Depth:- inches above pipe
Conditions: inches total
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.
"If lipplicable• / understand the system type specified is different from the type speciled on the apphialon. / accept the specifications ofthispemit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat. or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. Thu
Construction Authorization is subject to compliance with the previsionsofthe Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State A G Date: c:7— 0, —1 i
Construction Authorization Expiration Date: S S -22
NTE# 1 %—'5-- 4 Q-1 Y Permit # 2 07-3 8.3
Harnett County Department of 1'IIiblic Healtb
Site Sketcb
TT PROPERTY LOCATON: � l7 D � O//i /C.� ` re oi�Q 1,A6
ISSUED �J SUBDIVISION LOT At
q
Authorized Sta enr. C Date: 5� ^ / —/7
n� I;
If
T60
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9- ov5' oi(7 AavoJQ zb
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: .J _
Address: Date Evaluated:
Proposed Facility: `�'� Design Flow 1.1949):?j6-a
Location of Site: Property Recorded:
Water Supply: ❑'Public❑ Individual ❑ Well
Evaluation Method:❑igu—ger Boring ❑ Pit ❑ Cut
Type of Wastewater: Q—Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Minerelo
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapm
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
�t2
L LY
D -2Y
�
p �l
/ 3r
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): S
Available Space .1945) Evaluated By: ^ �,
S tem Type(s) Others Present:
Site LTAR