IPACHTE# A2s = ' �`= sem. Harnett County Department of Public Health 28462
Improvement Permit
A building permit cannot be issued with only an Improvement�ermit
i PROPERTY LOCATION:__7
t7 G
ISSUED TO: �b�A1,
rx-:5� �%7�7-x_�-� SUBDIVISION 5 ,0 _ � LOT # _
NEW REPAIR 1 EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:�3-%
Projected Daily Flow: 3% GPD
Number of bedrooms: Number of Occupants: Amax
Basement ❑Yes / 240
Pump Required: � Yes ❑ No ❑ MayAe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LTJ' Public ❑ Well Distance from well feet Permit valid for: 2 Five years
Permit conditions: ❑ No expiration
Authorized State A t:: r Date: 7 ®"7 -1 5 SEE ATTACHED SITE SKETCH
The issuance of this permit by a ealth 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 dhKe 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: PROPERTY LOCATION: Z
Z"
SUBDIVISION69 LOT #
Facility Type: Lif New ❑�, Expansion ❑ Repair
Basement? 11 Yes ZNo Basement Fixtures? El Yes LTJ" No
Type of Wastewater System** ril ti -f v -,v
(See note below, if applicable ❑) //
-Po e,4 40 jZ F""�Reppair)
Installation Requirements/Conditions ' Number of trenches �>
Septic Tank Size gallons Exact length of each trench Tb feet
Pump Tank Size T ® gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. -7q inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Wastewater Flow:�(!L�0 GPD
Trench Spacing: l 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
inches above t
inches total
**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:
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 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
Authorized State ent: Date: 7 a? '-7 5
Construction Authorization Expiration Date: 7- 7 —2D
HTE# AL3 5--,V/57— Permit #---Z Z? % 6 2—
Harnett County Department of niblic Health
Site Sketch
PROPERTY LOCAT(
ISSUED TO: Z 111 /SUBDIVISION
Authnri7ed Stateendl4 t:
Date:
�i
q F771
t,XA1�14. 304-S
0
LOT #
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 W 4
�
Proposed Facility: Design Flow(. 1949): .3&i
Location of Site: // Property Recorded:
Water Supply: ❑-Vublic❑ Individual ❑ Well
Evaluation Metbod:j Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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/
I Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
-3a
X
3� '
3
(- ti'7u
2Lt
5L
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By `
System Type(s) Z Others Present:
Site LTAR