IPACHTE# Harnett County Department of Public Health 29399
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:-�W-/—ADI ( �/ l/{v�LiIG6L/I•/�
ISSUED TO: Sn�C / iZ(,firt�J SUBDIVISION C' LOT #
NEW ty' REPAIR ❑ / EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �S
Proposed Wastewater System Type:-; s% /ZIcAl1GY7 P�.;
Projected Daily Flow: 3 (O O GPD
Number of bedrooms: --� Number f Occupants: (P max
Basement []YesUf No
Pump Required: ❑Yes ❑ No L9 Mabe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community G✓ Public ❑ Well Distance from well 56c feet Permit valid for. C Five years
Permit conditions: ❑ No expiration
Authorized S A tPplan,
Date: — — / SEE ATTACHED SITE SKETCH
The issuance of this pen 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 m reveae 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 .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 the attached system layout
ISSUED TO: ZT:!!1t_ &WPROPERTY LOCATIONk-6L�105
SUBDIVISION CA ocw,.) rLOT # I_
Facility Type:
New
❑ xpansion El
Basement? ❑ Yes No Basement Fixtures?" El Yes
Ld No
Type of Wastewater System`* Z! /
(Initial) Wastewater Flow: _ 0 GPD
(See note below, if applicable ❑)
E
/ "
4Ya &%4 Z
G}�jix (Repair)
Installation Requirements/conditions
,
Number of trenches Z
Septic Tank Size 1606 gallons
Exact length of each trench feet
Trench Spacing: Feet on (enter
Pump Tank Sizegallons
Trenches shall be
installed on contour at a
Soil (over. inches
Maximum Trench
Depth of: Zb 7 /B 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: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
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
/2 inches total
**If applicable: / understand the system type specified is different hom the type spedfred on the app/ication. / accept the specificaGom o! this permit.
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 ownenhip of the site. This
tonstrucuon Authorization is subject 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 Sta Date: '—n — 1-7
Construction Authorization Expiration Date: Z
HTE# 4159 1
ISSUED TO:
Authorized State
Permit # c2 %.3 9?
Harnett County Department of MN is Health
Site Sketch
PROPERTY
LOT #
Date: A7 — 27' / 7
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:
Address: Date Evaluated: `'Ce- 77
Proposed Facility: Design Flow (.1949).3"
Location of Site: ,a."-Z� Property Recorded:
Water Supply: 9'1ublic❑ Individual ❑ Well
Evaluation Method- ❑huger- BBoriAg ❑ Pit ❑ Cut
Type of Wastewater: 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
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth(IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
<AR
J Z
s
1-3%
L
o-JS5L
4L6tA-ut'J
Description Initial Repair Sr Other Factors (.1946):
System Site Classification (.1948)J�tI/ s
Available S ce (.1945) Evaluated Byl:},✓//
System T e(s) Others Present: / —
Site LTAR r '7� 1 a