IPACHTE# -- -3 � Harnett County Department of Public Health 28301
Improvement Permit
A building permit cannot be issued with only an Improvement Perm'
(,
PROPERTY LOCATION: as A2C3YG '"4
ISSUED TO: �A V L,.. SUBDIVISION LOT #
NEW X REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: , )0JME (1A^C)
Proposed Wastewater System Type: !Y, vim: C7
Projected Daily Flow: GPD
Number of bedrooms: `a Number of Occupants: _max
Basement ❑Yes 11 No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
k
Type of Water Supply: ❑ Community ❑ Public XWell Distance from well \ CJZ�) feet Permit valid for:.Five years
Permit conditions-- LJ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: 3 NI SEE ATTACHED SITE SKETCH
of other permits. The permit hol r is re onsible for checking with appropriate governing bodies in meeting their requirements. This
v ment Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: .PI— oZ'n N�Z)I n} PROPERTY LOCATION: A T
SUBDIVISION LOT #
Facility Type: \A U c��,\ `�` C� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** _ "%,_ ;0 ,) '-:-,YS ;ern (Initial) Wastewater Flow: d 4 GPD
(See note below, if applicable ❑) l
'�.� `31 n \ <Z Jo � 0 � (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size ! 6 Q?C) gallons Exact length of each trench 5 y feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 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: t X 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 ]OFT. 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 dih`erent from the type specified on the app/ication. /accept the rpecilcationr of this permit.
Owner/Legal Representative—Sign
This Construction Authorization is
subject to
Construction Authorization is sutett t3�com
Authorized State Agent:
Date:
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
rave' of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Date:
ction Authorization Expiration Date:
NTE# �5- -35Li S
ISSUED TO:
Authorized State Agent:
Permit #
HarnettDepartment.a
Site Slietch
PROPERTY LOCATON: F f G
SUBDIVISION LOT #
Date:
'1931
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): ��140 �A
Location of Site:Property Recorded: a
Water Supply: ❑ Public❑ Individual Well
Evaluation Method Aug r 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
.1941
Shucture/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
r=d
C, 5
\Vly-r, > 1jj
s
Description Initial Repair System Other Factors (.1946):
Systefn Site Classification (1948))
Available Space (.1945) Evaluated By:
System Type(s) Others Present:..'
Site LTAR
.r t �