IPACHarnett County Department of Public Health 28334
Improvement Permit
A building permit cannot be issued with only an Improvement Permit 1
M PROPERTY LOCATION:
ISSUED TO: `.' SUBDIVISION S'ou,"sc)N-4p"e. 700,-43t-1\'9 LOT # �
NEW"REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1"OmE Q�
Proposed Wastewater System Type: ".�®/ r o N
Projected Daily Flow: '3 �-O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement [--]Yes No
Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from wellI (L-) Q) feet Permit valid for: X4ive years
Permit conditions: _ ❑ No expiration
Authorized State Agent:: ��� %� 5 Date: (o4115- SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees 'tle issuan other permits. The permit holder is re ponsible 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 Improveme t 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: F'hD�J At--�y PROPERTY LOCATION: Z e�-. ��- -E
SUBDIVISION Z®uN.Sot4N '%,N N=� %-\lf LOT #
Facility Type: �N U. New -El Expansion ❑ Repair
Basement? ElYes No Basement Fixtures. ElYes [ XNo
Type of Wastewater System** a��la Lit,G , O N S-y-0-seM (Initial) Wastewater Flow: 3% a GPD
(See note below, if applicable ❑)
2,Sofayc510u <?VmP� (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size L ®O 0 gallons Exact length of each trench Coo feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: inches
Maximum Trench Depth of:��'► 3� 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 ]OFT. 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: /understand the system type specified it diNerent from the type spedfled on the application. / accept the specifIcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to r ion if the site plan, plat, 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 subaf Ammpliance wit rovisions he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: N1 -b —D ate:
ction Authorization Expiration Date: (' Is I ab
HTE# Permit#
Harnett County Pepartment of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: —SUBDIVISION LOT #
Authorized State Agent: Date:
I
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:' QUq-n Design Flow(. 1949): ?rob tC+ v
Location of Site: Property Recorded: J1
Water Supply: MPublicF1 Individual ❑ Well
Evaluation Method A er Bo ing El ❑ Cut
Type of Wastewater: ` Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
Description Initial epair System Other Factors (.1946):
S st Site Classification (.1948)5
Available Space (.1945) Evaluated By:
System Type(s) ZZ,07, 9 v R Others Present: t3 vr`
Site LTAR r
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
Hoiiz
\
Description Initial epair System Other Factors (.1946):
S st Site Classification (.1948)5
Available Space (.1945) Evaluated By:
System Type(s) ZZ,07, 9 v R Others Present: t3 vr`
Site LTAR r