IPACHTE#n-s - u '19 z Harnett County Department of Public Health 29394
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION /N /Zo
ISSUED T0: ,AJ V 67%Pih� a;k< SUBDIVISION LOT # ta/U
NEW REPAIR ❑ EXPANSION ❑ Site Improvem is required prior to Construction Authorization Issuance:
Type of Structure: J_i
Proposed Wastewater System Type:
Projected Daily Flow: 4ZS b GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes LY11
Pump Required: ❑Yes ❑ NoMa a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 13 Public ❑ Well Distance from well feet Permit valid for: 13- ive years
Permit conditions: ❑ No expiration
Authorized State / U Date: 49—/3—/7 SEE ATTACHED SITE SKETCH
The issuance of this penni ealth 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 in cremation if the sire 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, .1951, .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 the attached system layout. — / A
ISSUED TO: /A/ VA) �7V5;A scci =.'U L PROPERTY LOCATION 2—
SUBDIVISIONLOT #
Facility Type: New ❑/pansion El Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes CKO
Type of Wastewater System" �J_o—tea Oy's -- (Initial) Wastewater flow: V ad GPD
(See note below, if applicable ❑)
2S"9a
(Repair)
Installation Re uirements/Conditions
Number of trenches
Septic Tank Size gallons
Exact length of each trench g0cD feet
Pump Tank Size 1?,6 0 gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: ?/ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: Z__Iinches
(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
�- inches total
**If applicable: / understand the system type specified is different from the type ipecifled on the app/icadoa / accept the specifcationr of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to reroation 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. 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 btt At IALPILD IIIc At ILII
Authorized State Date: L —z 3 s 7
Construction Authorization Expiration Date: &-- r 3 -2Z
HTE# /-7-5-- (41,l13Z
ISSUED T0:
Authorized S
Permit # Z 5 3-�-/
Harnett County Department of Public Health
Site Sketch
A1,11 woo- lv-
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: (-l..)`_P /—NN%
Address: `� Date Evaluated:
Proposed Facility: Design Flow (1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual Well
Evaluation Method:❑ Auger��Borig� 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
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN
.1956
Sapm
Class
.1944
Rear
Horiz
T
3
�-
�-zy
-•ts�.�t��
Description Initial Repair Syst Other Factors (.1946):
Sys Site Classification (.1945):
Available S ace(.1945) Evaluated By'
Sys Type(s) 6 Others PresenC
Site LTAR t