IPACNTE#,/v-5,7z-..,v,bz-2 Harnett County Department of Public Health 2838
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION-. Y/15—/44 -,.:L
ISSUED TO: SUBDIVISION LOT # c -2-
NEW
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: sqe;-,)
Proposed Wastewater System Type:
Projected Daily Flow: 3 (- GPD
Number of bedrooms: � Number of Occupants: _max
Basement ❑Yes [3 -'No
Pump Required: ❑Yes ❑ No 2f Maybe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Z Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agni., - -� y Date: S--0 /S' SEE ATTACHED SITE SKETCH
The issuance of this permit by t ,H 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 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: C-G��" Z;Jr— PROPERTY LOCATION:q1.'ai-
VNew
SUBDIVISIONS--%FS LOT # `/ZFacility Type: ❑ Expansion ❑ Repair
Basement? ❑ Yes LST No Basement Fixtures? ❑ Yes Ed No
Type of Wastewater System** (Initial) Wastewater Flow: 3(c, GPD
(See note below, if applicable ❑)
y�� Z / GfZI (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size --7 gallons Exact length of each trench 3? 6— feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover:_ inches
Maximum Trench Depth of: 7 IR inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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
/Z- inches total
**If applicable: /understand the system type specifled is different from the type specified on the application. /accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Dlan. DIaL or the intended use chanves. The Cnnstrurtinn Authnri7atinn shall nnr ha transferred when thorn is n rhanno in nwnorrhin nt tho it, Thi,
Construction Authorization is subject to
Authorized State
a ,
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
i Date: S'`—t 5
Construction Authorization Expiration Date: <-----/ g - 76
HTE# /� '�� �Z� Permit # 2939-1
Harnett County Department of Public Health
Site. Sketch
17 PROPERTY LOCATON:Y/� /FIs C"i
ISSUED T0: �T SUBDIVISIONLOT #
Authorized State A Date:`� `— t S / S'
C,
-7F----
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):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: er Boring ❑ Pit ❑ Cut
Type of Wastewater: 0' Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
Description Initial Re pai System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Type(s) Others Present:
Site LTAR �{ .
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
30
d
4n�
G
U
l
GKN
6-10
SC
,?4
SCC.
3
Description Initial Re pai System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Type(s) Others Present:
Site LTAR �{ .