IPACHTE# �s s=3s���� Harnett County Department of Public Health 28147
Improvement Permit
A building permit cannot be issued with only an Improvement I' � Permit
/� PROPERTY LOCATION: �1r d °' 1, A)
ISSUED TO: 13,rf-,l d BIt55,/1,014 SUBDIVISION LOT #
NEW K' REPAIR ❑ EXPANSION ❑
Type of Structure: A # 16fX 70
Proposed Wastewater System Type:
Projected Daily Flow: c2go GPD
Number of bedrooms: _21 Number of Occupants: y max
Basement ❑Yes 21
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ZNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public I" Well Distance from well /cl� feet
Permit conditions:
Permit valid for:
dQ F ve years
❑ No expiration
Authorized State Agent: ��—�r-rte-- ��. �'r/ Date: •Z (.T /2 SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 TO: �� r►� d��"f /f'� iPROPERTY LOCATION: ec114_r A: 11,ed
�/ SUBDIVISION LOT # d. 1a
Facility Type: Iq 14 L✓J New ❑ Expansion ❑ Repair
Basement? ❑ Yes V No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** S` �v /Zed Vc � o., 1'�cn (Initial) Wastewater Flow: .21/0 GPD
(See note below, if applicable ❑) �
a1`lJ e_C1-CJ- (Repair)
Installation Requirements/Conditions Number of trenches — Z
Septic Tank Size /000 gallons Exact length of each trenchOO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. / 6 J(- inches
(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: 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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: / understand the system type specified is different from the type specified on the application. 1 accept the speciTcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site 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 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 State Agent:
eec f Date: 62 a�lr
Construction Authorization Expiration Date: 02% Z Q2 c
HTE# Permit # c? 8 / L/7
Harnett County Department ®f Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION LOT #�
Authorized State Agent:/f Date: Z /,7X -/s
I
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: ❑ Public[] Individual D -W-111
Evaluation Method: 0 Auger Bori g ❑ Pit ❑ Cut
[� Se
Type of Wastewater: wage ❑ 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
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Af-
c-
I-
e-'l
V11iNv 4f l
yZ
Description Initial Repair System Other Factors (1946):
System Site Classification (I 948):/V
Available Space(. 1945) Evaluated By:,p �-
System Type(s) o?r - S' Others Present:
Site LTAR L 1�