IPACHTE# /$– 5-- 35�s5 Harnett County Department of Public Health 28216
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/� PROPERTY LOCATION:*CJ 5-62– (heL A!—� .mss /L/)
ISSUED TTO/� fz'l—z.) ',-/Z)
` Z) SUBDIVISION LOT #
NEW LR' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 6f --b
Proposed Wastewater System Type: 2-1-5-% f
Projected Daily Flow: 3 tr1Z> GPD
Number of bedrooms: —� Number of Occupants: _max
Basement ❑Yes
Pump Required: ❑Yes ❑ No IJ Ma e required b on final location and elevations of facilities ��
Type of Water Supply: ❑ Community �1 Public 2 Wel istance from well / CD feet Permit valid for: IF
ive years
Permit conditions: ❑ No expiration
Authorized State A nt:• C Date: / —30 -/ 5" SEE ATTACHED SITE SKETCH
The issuance of this permit 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
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .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: MfIA) PROPERTY LOCATION: 4"2CIc
SUBDIVISION LOT # 5
Facility Type: _ C/7 New El,, -Expansion El Repair
Basement? El Yes No Basement Fixtures? El Yes IR No
Type of Wastewater System** (Initial) Wastewater Flow: 3 6-C, GPD
(See note below, if applicable ❑
�tf 44 26-26 Z/345�--—{Repair)
Installation Requirements/Conditions ir Number of trenches 3
Septic Tank Size 00D gallons Exact length of each trench / o d feet Trench Spacing: ` Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6inches
Maximum Trench Depth of: ZZ 301 g 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. TDH vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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
17— inches total
**If applicable: / understand the system type specifled is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Plan, alat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershin 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 Stat ent: Date: /– '30 – r 5 "
Construction Authorization Expiration Date: 4 – 7 " – Z-0
HTE# %5�— �5L�7' Permit # "282162
Harnett County Department of 11ablic Health
Site Sketch
PROPERTY LOCATON: 257(J57a2 eo
ISSUED TO: �— ��f' SUBDIVISION LOT # S�
Authorized State Age Aar Date: 1-3° `7S
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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:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: R Public❑ Individual n Well
Evaluation Method:Z/ AugerBo g El Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
Description
.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
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
It Z
S°7g,
f'1
0-166c,
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dW
PV
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tZ
15C.
CCs.
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Description Initial Repair System Other Factors (.1946): S
S stem, Site Classification (.1948):
Available Space(. 1945) Evaluated By: cJ
System Type(s) Z szZ 14- Others Present:
Site LTAR I i