IPACHTE# S= 72o x� y Harnett County Department of Public Health 29622
Improvement Permit
A building permit cannot be issued with only an Improvement Permit b
`�� L3�ji� � C PROPERTY LOCATION: S6 r
ISSUED TO�/ 5 SUBDIVISION c = c� LOT # 33
NEW REPAIR 0 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z�'o %Ic�
Projected Daily Flow: fob GPD
Number of bedrooms:Number Occupants: jo max
Basement ❑Yes No
Pump Required: ❑Yes ❑ Nc�Ma �a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community fps Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for. `❑aFive years
❑ No expiration
Authorized Stat C / Date: It) -31-1-7 SEE ATTACHED SITE SKETCH
The issuance of this pe it a Health Department in 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 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
Reouired for Building Permit
The construction and installation requirements of Rules .195D, .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: M PROPERTY LOCATI01 /Slo3 r�� �V ZID
SUBDIVISION LOT # �3
Facility Type: j t New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fi tures? ❑ Yes EZZO /
Type of Wastewater System** (Initial) Wastewater flow: 3500 GPD
(See note below, if applicable El)
`o 1J tib / Z� /CAe-f (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /l% gallons Exact length of eachtrend feet
Pump Tank Size gallons Trenches shall be installed on coutour at a
Maximum Trench Depth oflZq *7�0inches
(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: riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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: / m7derrtand the ryrtem type fpeciled i r different from the type rpeciled on the application. / accept the Jpecilcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Autfiorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorisation shall not be transferred when there u 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 SEE ATTACHED SITE SKETCH
Authorized Stal�Agept Date: lb— 31—
Construction Authorization Expiration Date: /0 31—ZZ
NTE# /'lam %avgf
Permit # G to Z Z
Harnett County Department of Public Health
Site Sketch
/T, 2 PROPERTY LOCATONZvC/563 a // /rlgn. At
ISSUED TO 5��1 U�%��Ci�r! 3 / SUBDIVISION ,l3cs �a� LOT # j3
Authorized State kgiL- 1? �, % 1.4r Lr9a5Z� Date: /O
W C,, -r
2-5-% glee
5;�
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: 77 "�`"'
Address: Date Evaluated: L
Proposed Facility: Design Flow (.1949): 3(��
Location of Site: �� Property Recorded:
,
Water Supply: � Public❑ Individual ❑ Well
Evaluation Method:❑ ger Bp ng ❑ Pit ❑ Cut
Type of Wastewater: ,b 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth(IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
I, 2
>_
sL
� ,
5V
Description initial Repair Sy em Other Factors (.1946):
S stet Site Classification ):
Available Space (.1945) Evaluatedted By: �+
System Type(s) La Others Present:
Site LTAR