IPACHTE # /s- 5 -3sgzz Harnett County Department of Public Health 28374
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
;� PROPERTY LOCATION:e-lk—1 S<v G b4 /Z�
ISSUED�TO:. <�PSS �fiVit/C� UTXyiJ SUBDIVISION LOT #
NEW EN' REPAIR ❑ EXPANSION ❑ Site Improvements required Drior to Construction Authorization Issuance:
Type of Structure: &'Jt ! H
Proposed Wastewater System Type: 1, `6 /7lb u Gc57_&,
Projected Daily Flow: (aZ GPD
Number of bedrooms: 3 Number of Occupants: iv max
Basement ❑Yes �o
Pump Required: ❑Yes ❑ No Aaybe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L3 Yublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
2 Five years
❑ No expiration
Authorized State Agu<Date: `r' 2'r, -~i S— SEE ATTACHED SITE SKETCH
The issuance of this permit by talth 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, .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: rle-5-s2PROPERTY LOCATION: cXZ5-5 ,2
c,6 /5 /e6
SUBDIVISION LOT #
Facility Type: Z' New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Z No
Type of Wastewater System** 7,Sl'Z47�Z "'ZZ' (Initial) Wastewater Flow: 0 GPD
(See note below, if applicable ❑)
ZSr166 /ZA[ (Repair)
Installation Requirements/Conditions Number of trenches _ q
Septic Tank Size Z 4 O6_ gallons Exact length of each trench 6D 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. 2�1 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 to inches below pipe
Aggregate Depth: z. inches above pipe
Conditions: inches total
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.
**If applicable: / understand the system type speciped is different from the type specired on the application. / accept the specifications o/ 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 chance 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
Authorized State A t: Date: s- - Lo-- i
Construction Authorization Expiration Date: 1 Z0 -).d
HTE# ��' - !;-- 32� Z z
Permit # Z93% Y
Harnett County Department of iiHealth
Site 1
_ PROPERTY LOCATON:;3-,,\r-S"G,
ISSUED TO:�/ esu e /( ,v,ve,(Z XXW SUBDIVISION LOT #
Authorized State Ag Date:
5--76-15-
6-7-7-
-Z.6-ls'
s7-7- i 55-eo h6 M/
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: DL_T 11ty- Design Flow (.1949): 31ea
Location of Site: Property Recorded:
Water Supply: D ublic❑ Individual ❑ Well
Evaluation Method: Er Auger Bori g ❑ Pit ❑ Cut
Type of Wastewater: L Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape Horizon
Position/ Depth
Slope % (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
i3o
5 L.
Cr7 n�v �'
SL-
IXt
J
'f2 ly �•
�
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948):
Available Space(. 1945) Evaluated B
System Type(s) Others Present:
Site LTAR !