IPACHTE# J! =S-- 39Q9,3 Harnett County Department of Public Health 28352
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATION-,- tit/% 7, df 5 CW6 ttZ
ISSUED TO: 1fHn,e,er "tS4+-p-� , fit) SUBDIVISION 14 LOT #
NEW 2' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: do 2�
Projected Daily Flow: 3 eZ GPD
Number of bedrooms: a Number of Occupants: f® max
Basement ❑Yes o
Pump Required: 2fYes ❑ No ❑ MMarequired based on final location and elevations of facilities
Type of Water Supply: ElCommunity 0 Public ❑ Well Distance from well feet Permit valid for:
Permit conditions:
Lit Five years
❑ No expiration
Authorized State A , Date: 5 — 31-1 57— SEE ATTACHED SITE SKETCH
The issuance of this permit t ealth 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 revocatio 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, .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 TO:TFirr,a-a 4-3%11,42.4 PROPERTY LOCATION: 6q Zqds 041,3 "40
SUBDIVISION 57 -At LOT #
Facility Type: _ [r New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes C7 No
Type of Wastewater System** hn 6 r � (Initial) Wastewater Flow: 34-c�- GPD
(See note below, if applicable ❑) `
"e:k4o he, u (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /00 0 gallons Exact length of each trench' 400_ feet
Pump Tank Size %60 e' gallons Trenches shall be installed on contour at a
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: Z®-5 16 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: / Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
4 inches below pipe
2 inches above pipe
inches total
**If applicable: l understand the system type speciped is different from the type speciTed on the application. / accept the specifications 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 chanve in ownershin of the cito Thio
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 A t: - Date:
Construction Authorization Expiration Date: 3-3 11 _T�—
HTE#/s-`� �- 35683 Permit # 28352
Harnett County Department of niblic Health
Site Sketch
_ PROPERTY LOCATON:<nU ) Zeowls CW8 (�
ISSUED TO: SUBDIVISION %T W-. LOT #
Authorized State ent: Date: 3 _31 — ( 7
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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: 3`�'`t ' '_
Proposed Facility: nlq�;� Design Flow (.1949): BCe,:)'
Location of Site: Property Recorded:
Water Supply: ❑ P'ublic❑ Individual ❑ Well
Evaluation Method:`uger Bori g ❑ Pit ❑ Cut
Type of Wastewater: OSewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
SOIL MORPHOLOGY
.1941
Horizon
Depth .1941 .1941
(In.) Structure! Consistence
Texture Mineralogy
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
—
.1956
Sapro
Class
.1944
Restr
Horiz
D
41i.tJ.5-W(,
4
-3-414
l2- 3Y
Smarr
( P
3b 1e t
c3
Description Initial Repair System Other Factors (.1946): _
system Site Classification (.1948): r
Available Space(. 1945) Evaluated By: C�:11
System Type(s) Z g--�— 2 Others Present:
Site LTAR I