IPACHarnett County Department of Public Health 28466
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATIONS /Y,6 /
ISSUED TO/�O SUBDIVISION LOT #
NEW Z REPAIR ❑ EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �S
Proposed Wastewater System Type: Z�/o t
Projected Daily Flow: q a U GPD
Number of bedrooms: q Number of Occupants: max
Basement ❑Yes —&No
Pump Required: ❑Yes ❑ No ET"k be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
LSF Five years
❑ No expiration
Authorized State ent:: L ` Date: —7--1b % 5— SEE ATTACHED SITE SKETCH
The issuance of this permit by Health 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 TO: t� � JC�i¢ PROPERTY LOCATION: Z' -14W ,�rJllTi✓S `G� ,C�j
SUBDIVISION LOT # /
Facility Type: C' New ❑ Expansion ❑ Repair
Basement? ❑ Yes Z- No Basement Fixtures? ❑ Yes �la
Type of Wastewater System** ZSR/a ��l��iln—�s7`7—' (Initial) Wastewater Flow: Y 80 GPD
(See note below, if applicable ❑)
Zl716 /zt--7)6IC /� ,5As�air)
Installation Requirements/Conditions Number of trenches
Septic Tank Size j Z,00 gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: —7<018 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)
inches below pipe
Aggregate Depth: L inches above pipe
inches total
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.
**If applicable: /understand the system type specified is different from the type speci(ed on the application. /accept the specipcations 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 nt: �,-1:-o ,%�`; Date: —7—lo —/5—
Construction
/5—
Construction Authorization Expiration Date:
HTE# IS -S _ S&q,/3 Permit # 28V 6G
Harnett County • 1. 11' of PublicHealth
Site Sketch
PROPERTY LOCATON:---/yD/` G ,�Tr (S' /I..`& /OA
ISSUED TO: 4 SUBDIVISION LOT # I
A
Authorized State Date: —7 — y / }'
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: V r®'~ -C4 --
Address: Date Evaluated:''
Proposed Facility: Design Flow (.1949):
Location of Site: 1' . 444 Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: ❑ Auger Bori g Pit ❑Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948): >
Available Space(. 1945) Evaluated
System Type(s) Others Presen
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
7
a Z,3
��
O , Ig9
S(,„
4
zc`
LlL 3�1
G-:-7 e.
L g
b--1
54
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948): >
Available Space(. 1945) Evaluated
System Type(s) Others Presen
Site LTAR