IPACHTE# ) Harnett County Department of Public Health 29735
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: �a�6e6t vE I --N
ISSUED T0: Cil) JO>aNsdN SUBDIVISION
LOT #
NEWXi REPAIR ❑ EXP9NSION ❑
Type of Structure: M A cJ . �'i0 cr+E ( IL-1 x$ 0)
Proposed Wastewater System Type: ��° u �6auc�,y\ot4 SYS M
Projected Daily Flow: 3b a GPD
Number of bedrooms: 3 Number of Occupants: b max
Basement ❑Yes 'JR No
Pump Required: []Yes �Rl No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
Permit valid for.
)l Five years
❑ No expiration
Authorized State Agent:: � l 5 Date: \O laS )l7) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees .ante of other permits. The permit holder i respon ble 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 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, .1951, .1954, .1955, .1956, .1951, .1956. 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:06 1 ��/ 0 L1N5 d.sy PROPERTY LOCATION: �A a y 6 E1Z' N E )—)�
/l�.x$_1 SUBDIVISION LOT #
NO'Mr,-
Facility Type: _ T'nWwA ` Ql � New ❑ Expansion ❑ Repair
Basement? ❑ Yes No B semenFixtures? 1-1Yes ❑ No
Itn
Type of Wastewater System** Z -S1,,, Uta\u.4 E,,h (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
_B.Syo 12EouGS 1 n,tv SSS (Repair)
Installation Requirements/Conditions Number of trenches T
Septic Tank Size t o od gallons Exact length of each trench feet Trench Spacing: q Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6 inches
Maximum Trench Depth of: Vq inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: k TDM vs. GPM
Conditions:
Aggregate Depth:
WATER LINES INCLUDING IRRIGATIONS MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type cpeciled is different from the type speciled on the application. / accept the specilcationr of this permit.
uwneulegal Representative mgnature: Date:
This Construction Authorization is ct to revoation if the nu plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is su , to mmplianm he prov% the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: `��:\� , R"5 Date: 10
Authorization Expiration Date:
)-I
HTE#i7 - S-' l�$a-1 Permit # aA 735
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: A.�1 GFliIN 6 L,,,
ISSUED 10: �L �d SUBDIVISION j1 tOT #
Authorized State Agent tl�yy tabL ;o L Date: _ to l aS l l
Ex�S��v G V\0w\
A o o BAttJ,0
FENcz�
'7a
yglu - st-0
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: )01It1
Proposed Facility: 3 6yqDo� Design Flow (.1949): 3 O op
Location of Site: Property Recorded: l
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 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 M.)
Sapro
Class
.1944
Restr
Honz
L5
G
a3
S6� cL
F-2- 93 iw
Qi
ra i5 )^4R
C2
.y
Description Initial Re air System Other Factors (.1946):
S ste Site Classification (.1948):f j
Available Space(. 1945) Evaluated By: p'(
System Type(s) 2—S /o Others Present: �.
Site LTAR .1A .�
v