IPACHTE# Harnett County Department of Public Health 28432
Improvement Permit
A building permit cannot be issued with only an Im movement Permit
/' _ PROPERTY LOCATION:
ISSUED T0: M -ISUBDIVISION LOT #
NEW B' REPAIR ❑r EXPANSION 1:1Type of Structure: /�i H /I/X 70O
Proposed Wastewater System Type: 0-52" J`ec zs: `- ���l e,•.
Projected Daily Flow: 02 y ® GPD
Number of bedrooms: 12 Number of Occupants: q max
Basement ❑Yes 2-60
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes �o ❑Maoe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Er Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
2-F—ive years
❑ No expiration
Authorized State Agent:: z11-1-."Z(6v Date: V Z --, c r� SEE ATTACHED SITE SKETCH
The issuance of this permit byCe 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-) i M PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: /�/� 2r --New ❑ Expansion ❑ Repair
Basement? ❑ Yes ET" No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 04-4, 9-eA uL4' to J J,de,, (Initial) Wastewater Flow: o2 yG GPD
(See note below, if applicable ❑) p
a,SV��,d..ecvc�-•".� f fT�e� (Repair)
Installation ReRegguirements/Conditions Number of trenches
Septic Tank Size /C)®G gallons Exact length of each trench 770 feet Trench Spacing: C% Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: (. inches
Maximum Trench Depth of. I& a -V 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
%Q a �/ Aggregate Depth: inches above pipe
Conditions: 1� j ° /" C e � tjr A- XJ0 �e C �C.Z -4. Z ti,4 inches total
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.
**If applicable: /understand the system type specired is different from the type speciped on the application. / accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
Thio rnnon¢tinn Authnrization is subject to revocation if the site Dian. Mat or the intended use chanties. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compjjarfoith 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 Agent* e Date: 2$LT"
Construction Authorization Expiration Date: 9% RL2,0
HTE# /S'=5-- 7 b�J ),
Permit # oZ% `I .3 2—
Harnett
CountyDepartment 1f Pti-blic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION LOT #
Authorized State Ageni,�.._ _ �� y Date: 9/f��C /sJ
p ,, br 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: 1� /% a°/r
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: VLow��Jh'g
c❑ Individual ❑ Well
Evaluation Method: Auge❑ Pit ❑ Cut
Type of Wastewater: age ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
IF�.1940
Lape
En/
#
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
Vf
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):/If
Available Space (.1945) / Evaluated By/'—
System T e(s) Others Present:/
Site LTAR I