IPAC RNTE# P y,,? Harnett County Department of Public Health 29618
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED TO// PROPERTY LOCATION: 3Q I7 � N f— V 17))ISSUED TO' �! xx-e SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION X Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System T pe:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: __max
Basement Dyes
No
Pump Required: Yes ❑ No ❑J be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Q Five years
❑ No expiration
Authorized Stat V Date: �(� / 0 — t ^7 SEE ATTACHED SITE SKETCH
The issuance of this permit Is Health Department in no way guarantees the issuance of other permits. the permit holder is responsible- for ch^eckinq with appropriate governing bodies in meeting their requiremenn. This
site is subject to revocation rl 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 provinces of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permjtt
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1959. 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 I PROPERTY LOCATION.
SUBDIVISION LOT # —7L
Facility Type: New ❑ Expansion ElRepair
Basement? ElYes No,4Basement Fixtures? rQ—IYoe ❑ No
Type of Wastewater System**
(See note below, if applicable
Installation Requirements/Conditions
Septic Tank Size _j�� gallons
Pump Tank Size �— gallons
Number of trenches
Exact length of each trench _110 feet
Trenches shall be installed on contour area
Maximum Trench Depth of, �� inches
(Trench bottoms shall be level of +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. _ GPM
Conditions:
6&
(Initial) Wastewater Flow: GPD
Trench Spacing: �1?— Feet on Center
Soil Cover: 4� Inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: �— inches above pipe
/^ inches total
WATER LINES (IN(LUDI IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. i
*If applicable / understand the system type sol it different lom the type speciled on the app/icaaon. / acrnpt the rped9cationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to reraation i( she site plan, plat or the intended use changes. The Construction Autrorization shall not be lranslerred when there is a change in ownership of the site. This
Construction 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 State . i k Date: 16-10-17
Construction Authorization Expiration Date: /h — /e% — 77
HTE# �(� (L Permit #296- / 6
Harnett County Department of 1"Itblic Health
Site Sketch
/� PROPERTY LOCATON� 4
ISSUED T0: �t'�-I exSUBDIVISION
j� LOT # 2—
Authorized State A u' s t/40 Date: 60 ' / %
�Fw
s� Ya
SY
OAJ' 777
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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: // t
Address: Date Evaluated: / -
Proposed Facility: Design Flow(. 1949): X110
Location of Site: Property Recorded:
Water Supply:�[Public❑ Individual ❑ Well
Evaluation Method:E,/ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Dlewage ❑ 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 (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
?-3`'SU
714ks.P
2yt1 9ai�
�Ov0
ZZ
'
Description Initial Repair System Other Factors (.1946):
Sysem4l Site Classification (.1948):5
Available S ace (.1945) Evaluated By:
S stem T e(s) [o T) m Others Present:
Site LTAR