IPACHTE# n—s= `+' �Ys3 Harnett County Department of Public Health 29395
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATIO � /✓' 24
ISSUED T0: //� Ali✓ 462 kf!! � ��c SUBDIVISION LOT # Y&7 -
NEW D,1- REPAIR ❑ EXPANSION ❑ Site Improvemeq s required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type 7—bJ%iZZ
Projected Daily Flow: GPD
Number of bedrooms: �� Number of Occupants: _max
Basement ❑Yes E3 No
Pump Required: ❑Yes ❑ No Z May be required based on final location and elevations of facilities
Type of Water Supply: 11 Community p' Public ❑ Well Distance from well feet Permit valid for.ILXFwe years
Permit conditions: ❑ No expiration
Authorized State ' Date: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 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 tor Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .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 TO:PROPERTY LOCATION: `/2- laaj/66
SUBDIVISION LOT #
Facility Type: New pansion 11Repai
Basement? 11Yes Y No Basement Fixtures? ❑ Yes EA0
Type of Wastewater System** 2��, nw�i� S Act (Initial) Wastewater Flow: 480 GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Condition Number of trenches
Septic Tank Size gallons
Pump Tank Size _ 1-2400 gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench
Trenches shall be installed on contour at a
Maximum Trench Depth of
(Trench bottoms shall be level to +/•1/4"
in all directions)
GPM
feet Trench Spacing:Feet on Center
Soil Cover. —L—inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
_ — inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OR FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the ty tem type rpeciled it different /iom the type tpeciled on the app&vioa / accept the JpecifUlifonr o/lhir permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The commission Authomation shall not be transferred when there is a change in ownership of the site. This
Construction nutnoneatmn is sugect to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Date: 6 3 _
lq
C� Construction Authorization Expiration Date: 4 —
HTE# 1i—j — LPI`Fy3 Permit # -2933 is—
Harnett County Department of 1`nblic Health
Site .' ketch
PROPERTY LOCATC
ISSUED TO:�(.�_.In/�jn ti SUBDIVISION
Authorized Stateedeen"A( t: �� e�" f{'/Ati ha ck
P,� 1Yz
Date: 6—/3
LOT At
Department of Environment, Health and Natural Resources
Division of Environmental Health Sheet:
On -Site Wastewater Section Property ID:
Lot #:
SOIL/SITE EVALUATION File #:
Code:
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant: yP+�
Address:
Proposed Facility:
r Date Evaluated:
Location of Site:
Design Flow (.1949): Property Size:
Water Supply:
Property Recorded:
�,
L�P/ublic❑ Individual ❑ Well E3 Spring E3 Other
Evaluation Method: El Auger Bor' 9 Pit El
Type of Wastewater:
Sewa a
8 ❑Industrial Process ❑Mixed
P
R
O
F
1
SOIL MORPHOLOGY OTHER
.1940
L Landscape
1941
Horizon PROFILE FACTORS
E Position/
# Slope%
Depth ,1941.1942
.1941 Soil .1943 .1956 (In.) Structure/ Consistence
Wetness/
.1944 Profile
Soil
Texture Mineralo Sapm
Color De th (IN.) Class
Restr Class
Horiz <AR
L 5 • 3y 2•�Y'K
1
20-
I 1 Vc .. P. 38" �✓°
3
Description
Initial R it Syste Other Factors (.1946):
AvailableS ace(.]]]
S stem Site Classification (.1948):
S stem T e(s)
Evaluated By:
Site LTAR
Others Present:
v