IPACHTE#205"S Harnett County Department of Public Health 29613
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION f3 . GI
ISSUED T0: /��� �/%�1]�7ZST-v�� SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5'D
Proposed Wastewater System Type: ZS '%
Projected Daily Flow: 3 Cao GPD
Number of bedrooms:Number f Occupants: max
Basement Des 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 valid for. EirFXive years
Permit conditions: ❑ No expiration
Authorized S A ent:: Date: SEE ATTACHED SITE SKETCH
The issuance of this pe y 'health Department in no way guarantees the issuance of other permits. The permit holder is responsible for choking with appropriate governing bodies in meeting their requirements. This
site is subject to rei 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 m 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 T0: t G Buy X G PROPERTY LOCATI0N:,5U$b3R%11 atet%4 &,C'
SUBDIVISION LOT # k-7
Facility Type: Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Ld No
Type of Wastewater System** %Sa!G 4e�� ;SzgEy! � (Initial) Wastewater Flow: 3 (n O GPD
(See note below, if applicable ❑) n
(Repair)
Installation Requirements/Conditions Number of trenches 3 p
Septic Tank Size 060 gallons
Exact length of each trench XU feet
Trench Spacing:
Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover.
nches
Maximum Trench Depth oF. ZZ 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. TOM vs.
GPM
inches below pipe
Aggregate Depth:
2 inches above pipe
Conditions:
/ 2- inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the tvfrem type tpetfied it different from the type rpedfied on the app/kation. / Mept the rpetiltatianr of AS permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site pian, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
t.onstsuction 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. SEE ATTACHED SITE SKETCH
Authorized State ADate: T— t — 1-7
t7 Construction Authorization Expiration Date: 9 — 4 — Z L
HTE# 1:7 x= 7 20;�S� Permit # /
Harnett County Department of Ynblic Health
Site Sketch
PROPERTY LKATON� Te -,-3
ISSUED TO:,%f !W f�//�//�!}JLS 1� SUBDIVISION LOT #,3 -7 --
Authorized
�-5
Date: — —
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: _fie
Address: Date Evaluated:
Proposed Facility: Design Flow(. 1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger _Bon�' 8 El pit ❑Cut
Type of Wastewater: Id -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
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
.1943.1956
Soil
Depth (IN.
Sapro
Class
.1944
Restr
Horiz
Ql
4-0
c
�1^
2b -W
.� -Lol
II'' CC
(l�Jly
gy
J It-5��
I�
f
Description Initial Repair stem Other Factors (.1946):
S s[ Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System T e(s) Others Present:
Site LTAR „i