IPAC R-`ITE# I I <— S —3 Harnett County Department of Public Health 2 8 4 8 �
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION• l" F1
ISSUEDT0- SUBDIVISION LOT # a
NEW REPAIR ❑ EXPANSION ❑ Site Uprovements required prior to Cons tion Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 2192`
Projected Daily Flow: 2440 GPD
Number of bedrooms: Z Number of Occupants: 1_max
Basement []Y
es
Pump Required: ❑ No ❑;Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L+� Public ❑ Well Distance from well feet Permit valid for: EOive years
Permit conditions: ❑ No expiration
Authorized State nt:: Date: ®Z d 't �'^ SEE ATTACHED SITE SKETCH
The issuance of this permit th �HealthDeparLtrrie:�� way guarantees the issuanee of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation a s, r 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:��PROPERTY LOCATION: <L I Y/ `a
SUBDIVISION LOT # MtZ
Facility Type: "i /New �� Expansion Repair
Basement? L1 Yes No Basement Fixtures? EJ Yes L� No
Type of Wastewater System** auk,. 42) 'Z15"116 iZF44d �� (Initial) Wastewater Flow: -Zq D GPD
(See note below, if applicable ❑)
repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size a" gallons Exact length of each trench 200 feet Trench Spacing: Feet on Center
Pump Tank Size �/v lr0 gallons Trenches shall be installed on contour at a Soil (over: inches
Maximum Trench Depth of.. 36•t 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 inches below pipe
Conditions:
Aggregate Depth: L inches above pipe
Z inches total
WATER LINES (IN(LUDING 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 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 Sta a Agent: Date: 8-2-4—IS—
Construction
—2.r•--cS—Construction Authorization Expiration Date: 3 --Z,4 —.7-4
HTE#/S—S=3L`�51,� Permit # 26i68
Harnett County]Department of 'tiblic Health
Site Sketch
�,/ PROPERTY LOCATON:j_/ `/(S ltlF�-2 t
ISSUED TO: _/\ em �T/�iZ/N,+ SUBDIVISION S Gag -..cid LOT
Authorized State nt: Date:
/2t)>U
-la'
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): 240
Location of Site:Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:a Auger Boring Q"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 %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
L943,
D
.1956
Sapro
Class
.1944
Restr
Horiz
+ �
0Y
L
" Q
c
9Lr
tZ, 44
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) r—f Others Present:
Site LTAR . $