IPACHTE# Harnett County Department of Public Health 28312
Improvement Permit
A building permit cannot be issued with only an Improvement Permi
PROPERTY LOCATION: M frz
ISSUED TO: 50 N) c -A S C.1---, y rump,SUBDIVISION _N )n NJ t ti tp �, L LOT # y
NEVI REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: "I
Proposed Wastewater System Type: QJS3' / o — \J0 -'t Q a yss�,�
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes >< No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well L0 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date:y► 1 115 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc father 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: �olfinr `jcH v mcg, t.t sJ PROPERTY LOCATION: -I-) Q_ -Z C"1.1 C)
SUBDIVISION `i2`�A�� �L to sG LOT #
Facility Type: SSG �)S "6]0 -�K New ❑ Expansion ❑ Repair
Basement? ❑ Yes IM No Basement Fixtures? ❑ Yes �WNo
Type of Wastewater System** va\G"J (:; -�5>�—M (Initial) Wastewater Flow: X60 GPD
(See note below, if applicable ❑) d
C' Q-r--z\Jc:5+\ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size is ) gallons Exact length of each trench 5 e
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench DeP th of.• N 3b
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover: C inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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
inches total
**If applicable: l understand the ystem type tpeciled it different from the type specified on the application, l accept the speci6cationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to�h�pro
at, 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 subj�ct�compLaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: L) 1 /15
Construe Authorization Expiration Date: 't 1 aG
HTE#
Permit # `�� i ---)-
Harnett Connty Department of 1--'ablic Health
Site Sketch
PROPERTY LOCATON�
ISSUED T0: ��Y' K N SUBDIVISION 1122 Pj}A o LLP,GC^ LOT #
Authorized State Agent: Pki��S CGz�v `� �i bGS� Date: L ��_
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, d?Q i-.\ Design Flow (.1949):
Location of Site:Property Recorded:
Water Supply:Public❑ Individual ❑ Well
Evaluation Method:, Auger 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 %
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
FY -6 l
Description Initial Repair System Other Factors (.1946):
Systers, i Site Classification (.1948):
Available Space (.1945) V Evaluated By:
System Type(s) 5 % Others Present:
Site LTAR