IPACHTE# Harnett County Department of Public Health 29961
Improvement Permit
A building permit cannot be issued with only an Improvement Permit I�
Tom/ PROPERTY LOCATION:1Yy—
ISSUED T0: L� tY-�i SUBDIVISION LOT #
NEW Lti" REPAIR ❑ EXPANSION ❑
Type of Structure: a5
Proposed Wastewater System T pe«d
Projected Daily Flow:
GPD
Number of bedrooms:�e Number of Occupants: &mall
B ❑Y IZN
Site Improvements required prior to Construction Authorization Issuance:
asement es o �
Pump Required: ❑Yes ❑ NoMa a 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.
21Five years
❑ No expiration
Authorized State Date: /---70 SEE ATTACHED SITE SKETCH
The issuance of this permit by a alth Department in no way guarantees the issuance of other permits. The permit holder is responsible for A ttki with appropriate governing bodies in meeting their requirements. This
site is subject to revocation a 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 PermittJ
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1956. and .1959 are incorporated by references into this permit and shall he met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: L1LT'eA)S% ��t [ PROPERTY LOCATION:25'CJcILZ ALS , �J
SUBDIVISION LOT #
Facility Type: Newxpansion ❑ Repair
Basement? El Yes No Basement Fixtures? 11 Yes Nq
Type of Wastewater System** 45�#5 ki (Initial) Wastewater Flow: 3& GPD
(See note below, if applicable ❑) If
L ' Z jO,%tXl& (Repair)
Installation Requirements/Conditions Number of trenches
,�
Septic Tank Size � gallons Exact length of each trench I 5V feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 18 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: ! Feet on Center
Soil Cover. e; nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
& inches below pipe
Aggregate Depth: _Z inches above pipe
4Z` inches total
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.
**If applicable: l understand the ryrtem type rpeafied /r different from the rype rpedfed on the application. / accept the rpecifcanonr of thir permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization 6 subject to revocation if the site plan, plat or the intended use changes. The construction Autimmation shall not be transferred when there is a change in ownership of the site. This
I.onstuction Authorization is sutlect to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal oil to the conditions of this permit At AI IAIBtU lilt MILK
3-4
Authorized State A fate
Construction Authorization Expiration Date:
HTE# / n - s —Yq/li (J Permit # G 19 / Cs l
Harnett County Department of Public Health
Site Sketch
_ ROPERTY LOCATONr3� S
ISSUED TO: SUBDIVISION LOT #
Authorized State
t6
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:
Address: Date Evaluated: (rl N -t 3
Proposed Facility: Design Flow (.1949): �:jLe
Location of Site:,,��Property Recorded:
L�
Water Supply: rruhlic❑ Individual ❑ Well
Evaluation Method ger Boring ❑ Pit ❑ Cut
Type of Wastewater: EI -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot M
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
00, 10
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):0
Available Space (.1945) Evaluated By:��l
System Type(s) Lam. Others Present:
Site LTAR 1�7 l