IPACHTE# 3/ J — Harnett County Department of Public Health 28552
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION;a"'//S i4an. k
ISSUED TO' D,� tact C4,, /tib) -asp SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: 3cel PD
Number of bedrooms: _ Number of Occupants: &I max
Basement []Yes 0 ��
Pump Required: I�Yes [Ell No LiJ M�a' a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community (d Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Five years
❑ No expiration
Authorized State Ant LZf4zhDate: 5' — /'f-/ !lr-- SEE ATTACHED SITE SKETCH
The issuance of this permit Is Is I alth Department in no way guarantees the issuance of othe permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revoation tie me 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, AM, .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: b4� C �+Tt a PROPERTY LOCATION: !vc ?4.JA (*atenw Iso
r SUBDIVISION LOT # /
Facility Type: c'sl 7) C"New ❑ Expansion ❑ Repair
Basement? ❑ Yes Er No Basement Fixtures? ❑ Yes 2rNo
Type of Wastewater System** 1 (Initial) Wastewater Flow: _ (0 GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches 2—
Septic
Septic Tank Size 0 0 a gallons Exact length of each trench / ZO feet Trench Spacing: / Feet on Center
Pump Tank Size �/ oo Q gallons Trenches shall be installed on contour at a Soil Cover. Inches
Maximum Trench Depth of. 1 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
Aggregate Depth: Z inches above pipe
Conditions: �J �a t'� [ /trw> tle,.,Q n, -.f f lltNe-S & 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 t}pe specified it different hum the type specified on the app/urban. / accept the rpedhcations of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoation if the site plan, plat or the intended use changes. The Construction Authonation 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 Ageg' Z te: nJ—/�/—
Construction Authorization Expiration Date: — . y —Zd
HTE# t5 S �(oal6 S� Permit # 2815 —
Harnett ('ounty Department of Public Health
Site Sketch
PROPERTY LOCATON: r z�I
n
ISSUED T0: SUBDIVISION
A �y !;1! :1
Date:
Authorized State Aged-- w e'er "
ab
IS L1�L
Ss SN�3�
ov r Mr 64A -BA
aai*�>62) .
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: /;P" -'Applicant:
Address:`� Date Evaluated: l
Proposed Facility: X4_) Design Flow (.1949):�jC.s+� Property Size:
Location of Site: V llt IS Property Recorded:
Water Supply: nPublic❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 13 Sewage ❑ Industrial Process ❑ 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
1
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948).
Available Space(. 1945) i Evaluated By: 6L,
S stem Typo(s) JZ. L %W Others Present:
Site LTAR