IPACHTE#632 Harnett County Department of Public Health 2 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATION:c'5r—/5Y,6
ISSUED T0: -f—'`+�`5 Le /Zr,� SUBDIVISION G iv0 LOT # 2
NEW � REPAIR ❑ EXPANSIA ❑ Site Improvements require prior to Construction Authorization Issuance:
Type of Structure: SF 4-1>
Proposed Wastewater System Type: 7f2� &F �roe_��
Projected Daily Flow: Lf be-9fl GPD
Number of bedrooms: Number of Occupants: g max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Elay a required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well JQ'>' feet Permit valid for: 2 Five years
Permit conditions: ❑ No expiration
Authorized State Age t.:_Date: If '2-7-1 S` SEE ATTACHED SITE SKETCH
The issuance of this permit by a alth 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 t e 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: U [ " ��e�sr`z= 1 5 PROPERTY LOCATION:
SUBDIVISION C l' LOT #
Facility Type: LT New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Z No
Type of Wastewater System** Z50/0 �" — ;�215 i -k (Initial) Wastewater Flow: Y GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number �trenc�es-s:
Septic Tank Size /ZOO gallons Exact length of each trench /y® feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Zy `��° 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: 42 inches
(Maximum soil cover shall not exceed
36" above the trench /bottom)
Y� inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
**If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
Thic rnncrr—tinn Anthnri7atinn is mhiert to revocation if the site Dian. Dlat, 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
7 Authorized State Ag Date: Lf —27 —t '
Construction uthorization Expiration Date:
HTE# /S— _ 35,03.- Z
ISSUED TO:
Authorized
Permit # Z
Harnett County -Department of Public Health
Site Sketch
PROPFRTV I MUM- 9?
_._..._ LOT # --7_
os�ts °ms's n-4
Date: q -2-7—( S—
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: r"_47
Address:
"_4 -
Address: Date Evaluated:
Proposed Facility: 51�.6 Design Flow (.1949): 3bO
Location of Site: Property Recorded:
Water Supply: �"Public❑ Individual ❑ Well
Evaluation Method: ❑ Auger Bon❑ Pit ❑ Cut
Type of Wastewater: ❑-begwage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I .1940
L Landscape
E 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
0,/8
5�1-
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945)Evaluated By:
System Type(s) Others Present:
Site LTAR