IPACHTE# /' 7 Harnett County Department of Public Health 29388
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
, PROPERTY LOCATIO.44k
ISSUED TO' �4�! SUBDIVISION LOT # yV�
NEW LA" R AI`RIT � EXPANSI01 ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: y i>
Proposed Wastewater System Type:
Projected Daily Flow: (QO GPD
Number of bedrooms:-- Numb" of Occupants: max
Basement []YesLd No
Pump Required: ❑Yes El No fJ May be required ed on final location and elevations of facilities
Type of Water Supply:
El Community EJ Public Cell Distance from well le) A feet
Permit conditions:
Permit valid for:
fd Five years
❑ No expiration
Authorized Agee Date: SEE ATTACHED SITE SKETCH
The issuance of this permit the He Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation 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 provisiom 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 .1950, .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. ,�/ g
ISSUED TO: V /V PROPERTY LOCATION ,�
SUBDIVISION LOT #
Facility Type: % New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ es ZINo
Type of Wastewater System**(Initial) Wastewater Flow: 3l�t0 GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches y —
Septic Tank Size gallons Exact length of each trench A_ feet
Pump Tank Size �` gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: __JS—J(4 inches
(Trench bottoms shall be level to +1.114"
in all directions)
Pump Requirements: h. TON vs. GPM
Conditions:
Trench S pacing : Feet on Center
P g
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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
17-- inches total
I( applicable: / anderstand the tyrtem type Jpe�iled is diNerent !rom the type rpec1led on the app/icaao2 / arrept the rpenifi�ationr o/ thi pemrit.
Owner/Legal Representative Sjgnature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended uu changes. The camwction Authoriudon shall not be transferred when there is a change in ownership of the site. This
Lomwcton Authorisation is subject to compliance with the provisions of the Saws and Rules for Sewage Treatment and Disposal and or the conditions of this permit SEE ATTACHED SITE SKETCH
f+s
Authorized State A Date: 6-6p —/7
Construction Authorization Expiration Date: �, — 6 — 7D
HTE# Z7—Sl S1/3G Permit # a5330
Harnett County Department of 13'ablie Health
Site Sketch
ISSUED
LOT #
Date: 6 - /o — / 7
Z
i79 9
30 K,3 L
3 ��7
i
V C6.&,�
-7LO
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: hrw" �
Address: Date Evaluated:
Proposed Facility: rn Design Flow (.1949):
Location of Site: cS J Property Recorded:
Water Supply: ❑ Publico Individual ❑- Veil
Evaluation Method:[] -Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 0-8twage ❑ 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
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
J
d�a5
L
o I$
SL
z3g
L.;.
o- to
Yo
c. u
;D�escription Initial Repair System Other Factors (.1946):
/Site Classification(.1948):ISailable S ace (.1945) Evaluated By:
S stem T s) Others Present:
Site LTAR fl