IPACHTE# /5--S- —3fF53/ Harnett County Department of Public Health 28372
Improvement Permit
A building permit cannot be issued with only an IM
rovement Permit
PROPERTY LOCATION: In? _172 /Z4113 1 S 0 0 (J (Zz
ISSUED TO• `� SUBDIVISION —t— LOT # i—
NEW � REPAIR ❑ EXPANSION ❑ Site Im' ovements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 25'® ?PflU CIL41,-
Projected Daily Flow: Lf 0_ GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Z No
Pump Required: ❑Yes ❑ Noay e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LTJ" Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
LJ 'Five years
❑ No expiration
Authorized State A v Date: �5— _ :3 --1 S— SEE ATTACHED SITE SKETCH
The issuance of this permit by t th Department in no way guarantees t e 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: A n vc i.u, ,rale PROPERTY LOCATION: �y J V474g J)s C� �� s�
SUBDIVISION a,.r,�r)1, C-0-zj f LOT # I
Facility Type: LTJ" New ❑pansion ❑ Repair
Basement? El Yes Q No Basement Fixtures? 11 Yes EAo
Type of Wastewater System** Z5'0/v 17;;2 � (Initial) Wastewater Flow: VCO GPD
(See note below, if applicable ❑)
i 5 PI�'IJ(Repair)
Installation Requirements/Conditions r Number of trenc es 1
Septic Tank Size ZOO 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 50cl feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. Zcf 3 / S 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.
inches below pipe
Z inches above pipe
�Z. inches total
**If applicable: l understand the system type specified is different from the type specified on the application. l accept the specilcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use chances. The Construction Authorization shall not be transferred when there is a chance in ownership of the site. This
Construction Authorization is subject to compliance with the
Authorized State
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date:
Construction Authorization Expiration Date: :5-- &'' _
HTE # Permit # 2714-� 3 7 7_
Harnett County Department of niblic Health
Site Sketch
PROPERTY LOCATON: 1-v7— 1g4-7 SSS cm Z/ -N
ISSUED T0: A06 SUBDIVISION In 4.-' LOT # 1
Authorized State A 11
nt: <�f Date: Sr 8 —/s
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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: C.-=
Address:`�� Date Evaluated:
Proposed Facility: 3""-y Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ' Public❑ Individual ❑ Well
Evaluation Method: ❑'2G—g(r Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ 8'ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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
9 , 3
L- von
,zo
sl_
`G►t��
� N
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space(. 1945) / Evaluated Bv
System Type(s) -2,-74 Others Present..
Site LTAR . te ?.