IPACHTE# /= �y� Harnett County Department of Public Health 28491
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�--� PROPERTY LOCATION:-(L/5?y D1Z y Cee g e-
ISSUED TO !�!'(� _'� - T' I SUBDIVISION N • LOT # V-7
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: b..0o",t-i
Proposed Wastewater System Type: Z'514�A r�W�
Projected Daily Flow: 15C,,� GPD ``
Number of bedrooms: Number of Occupants: �o max
Basement ❑Yes
Pump Required: ❑Yes ❑ No LTJ Maybe required based on final location and elevations of facilities � �,�
Type of Water Supply: EJ Community Public E] Well Distance from well feet Permit valid for. E? -Five years
Permit conditions: ❑ No expiration
Authorized State Ag • Date: j—/ `< S SEE ATTACHED SITE SKETCH
The issuance of this permit by a ealth Department in no wa guara tees the issuance of or permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation i e 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: 71 e0- 1r -'J A- PROPERTY LOCATION:
SUBDIVISION N - '�Ff LOT # 1-7
Facility Type: -DLJ Q New ❑/fxpansion ElRepair
Basement? ElYes No Basement Fixtures? F-12 Yes No
Type of Wastewater System** Z!5 j2 —z,r, �'C--a , (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
"2'55 02,0 f U' J� (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size 30 1,060 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench /'-b feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 26 , / �— 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: Z— inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 it different from the type speciled on the app/ication. /accept the rpecidcationr of thi 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 chance in ownershin of rhe cite 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 St ent: Date: 9 •—1 — ®�®
Construction Authorization Expiration Date: — —L�
HTE # '�� �� O � q Permit # 2 q S
Hartnett County DepaAment of 1"ablie Health
Site Sketch
�(PROPERTY LOCATON:
� Y
ISSUED T0:} I SUBDIVISION LOT # 17)_
Authorized State Ag Date: �7—/ —/J,
1
I
2
sr2 t S1Y 1��(
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: c- :g e C S
Proposed Facility: Design Flow (.1949): Ca
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑Well
Evaluation Method: Auger Bor' g ❑ Pit ❑ Cut
Type of Wastewater: 1ZSewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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
L
��
`i
�y36
Q
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR