IPACHTE# 157-5-- 37F'Xd Harnett County Department of Public Health 28556
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
fiePROPERTY LOCA[MV: j -s--
ISSUED TO:t.Art.
/� �dhXJS�il Z& -!: a" 14 C SUBDIVISION jjAi+"t C� LOT # 59
NEW REPAIRa „_ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �-,--b
Proposed Wastewater System Type -9'0 1
Projected Daily Flow: Z) td..m GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public ❑ Well Distance from well feet Permit valid for: 17Five years
Permit conditions: ❑ No expiration
Authorized State n Ate+ Date: / 0 — S— — / S SEE ATTACHED SITE SKETCH
The issuance of this permit the Health Department in no way guarantees the issuance of other permits. The permit holder is impossible 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 .195D, .1957, .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 TOZ'&A .GA%rrJJ;^ ..A4)1 (-C. PROPERTY LOCATION: LY3s—!^is. �s7/J IZA
SUBDIVISION 4&ioiiill��'dPr LOT # Sys
Facility Type: dT LS New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? � 7❑Q yYes��� �2/�No� <
Type of Wastewater System" /ya-y� t ;s 2€`% r//hbVL w"a�7Stj— (Initial) Wastewater Flow: 36—jO GPD
(See note below, if applicable ❑�
va.nrji (Repair)
Installation Requirements/Condition Number of trenches F
Septic Tank Size L04140 gallons Exact length of each trench 360 feet Trench Spacing: / Feet on Center
Pump Tank Size /( gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: I V & inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions: �J—r f�)1t)A'"XAc,..T5 5Tv15F3s&b
(Maximum soil cover shall not exceed
36' above the trench bottom)
Inches below pipe
Depth: inches above pipe
inches total
J —"
s a
WATER LINES (INCLUDING IRRIGATION) MUST BE 166. FROM ANY PART OF SEPTIC SYSTEM OR PAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"'If applicable: / understand the s}rtem type speaded is different from the type specified on the application. l accept the specihizoons of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changer The Construction Authorization shall not be transferred when then is a change in ownership of the sire. This
Lonstrocton 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 ltt MIAMI] lilt ASCILn
F
thorized E
t: Date:
Construction Authorization Expiration Date: 10 — ,S — ZC
HTE# S— S— 37/ 36 Permit # Z Y SS -<o
Harnett County Department of Public Health
Site Sketch
�7
PROPERTY LOCATON: / %
ISSUED TO: 6. � lZh Z-6� / /r_ SSUBDIVISIONNA.1044 SLOT # �_
Authorized State Ag tf 19(4,�c Date: /U -
r-257 ac✓Gc rc� 5
fZ.
t
�)G��i�S LA)
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: " � ate Evaluated:
Proposed Facility: s4ll Design Flow (.1949): 3*t Property Size:
Location of Site: Property Recorded:
Water Supply: Eflublic❑ Individual ❑ Well ❑ Spring
Evaluation Method: on
nn ❑ Pit ❑ Cut
Type of Wastewater: ja Sewage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
1
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
Delinth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
J.
4c e,. &Wsr /+
f�
7 •
Q
z.
v
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): P S
Available Space(. 1945) Evaluated By:
System Type(s) Others Present: rZ
Site LTAR