IPACH T E # rs=r- 3bs"53 Harnett County Department of Public Health 28423
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Q,,r
ISSUED TO- v. I ��rf SUBDIVISION we Q—`E �,x�. E G LOT # /7
NEW I�" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1) 3 t
Proposed Wastewater System Type: o2S-?� d� "I
Projected Daily Flow: 3(. 0 GPD
Number of bedrooms: 3 Number of Occupants: Q max
Basement ❑Yes 110
Pump Required: ❑Yes [Xlo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community litl�Public ❑ Well Distance from well feet Permit valid for: 19-ri-ve years
Permit conditions: ❑ No expiration
Authorized State Agent:: 4% ZC-Al Date: -71��20I— SEE ATTACHED SITE SKETCH
The issuance of this permit byY, Huh ealth Department�m no way guarantees t e 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, .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 T0: IS SS ��o rfci / PROPERTY LOCATION: W • ll Ltkr AJ.
SUBDIVISION LOT #
Facility Type: 2" ✓❑"New ❑ Expansion ❑ Repair
Basement? ❑ Yes 12"'No Basement Fixtures? ❑ Yes El No
Type of Wastewater System** a S—?�, ,fie t utj : c, (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
�2�ro ACA%Z . " r,- �lt'e.,,. (Repair)
Installation Requirements/Conditions Number of trenches /
Septic Tank Size1QQ0 gallons Exact length of each trench feet Trench Spacing:2 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: kP inches
Maximum Trench Depth of: 140 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
inches total
**If applicable: l understand the system type specified is different from the type roecifed on the application. l 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 com fiance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
// 12- Authorized State Agent: C„� . ��/f� Date: � ^ d!�
Construction Authorization Expiration Date: 7/2 �l2 G 26
HTE# J3 - S2 3 Permit # c2 b'AaJ
Harnett County Department of Riblic Health
Site Sketch
_ PROPERTY LOCATON:
ISSUED TO: S vE icer/ SUBDIVISION LOT #
e �Zv!r
Authorized State Agent: � ��f Date: —7/2- r
I
P
lU
404, l
rll-'r r-0 ") � �
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: [] uger B ng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
—
.1956
Sapro
Class
.1944
Restr
Horiz
yy
0
0-10
w
S7
J---) -72
C(
b -
✓1,, �Ufl�
v7Ve�
J
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available-'§p—ace (.1945) Evaluated By:d—
System Type(s) S` ,2f' Others Present:
Site LTAR �(