IPACHTE# -3262 Harnett County Department of Public Health 28560
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
,// PROPERTY LOCATION�'7� /2e� !-4 %! e- LV- 2W
ISSUED TOi /? �V tI, SUBDIVISION lil 0"''L/z-ci LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: r"LO m
Proposed Wastewater System—Type: ala G
Projected Daily Flow: � GPD
Number of bedrooms: J Number of Occupants: max
Basement []Yes Q"No
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ No 13 -Ma a required based on final location and elevations of facilities
❑ Community rblic ❑ Well Distance from well feet
Permit valid for:
0`ive years
❑ No expiration
Authorized State nt: r Date: iy —/Z—r V— SEE ATTACHED SITE SKETCH
The issuance of this perm' y e Health Department in no way guarantees the issuance of other permih. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements, This
site is subject m cavo the site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownenhip 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, .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 TO: c ,� ly(n� PROPERTY LOCATION:,U /7a3 .ecil?�11114 1fD
SUBDIVISION N642r--i LOT # 3
Facility Type: 2 New �❑l xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes L1 No
Type of Wastewater System** Uccle (Initial) Wastewater Flow: 'JI- Cr GPD
(See note below, if applicable ❑)
t -.-.o d -v 7.S"71a(2Y5I—jam (Repair)
Installation Requirements/Conditions Number of trenches Z ° i K 'S
Septic Tank Size! Z? 0 gallons Exact length of each trench OL get Trench Spacing: feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of-. 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: h. TUN vs. GPM inches below pipe
Aggregate Depth: Z- inches above pipe
Conditions: l2 inches total
WATER LINES (IN(LUDING 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 sisecifyed is different from the type specified on the app/nation. / accept the sped&ationr 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 pf fhe site. This
construction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and or the conditions of this permit )tt MIAMI) )Ilt )Rl
Authorized State ant: Date: t
Construction Authorization Expiration Date: t 0 —t 2- — W
HTE# / S -S — 372.6Z
Permit #
2SS�o
Harnett ConntY Department of Mblic° Health
Site ,' ketch
PROPERTY LOCATON:62 ! 7 D
ISSUED TO: �'%'1 /� /AnrN� SUBDIVISION LOT #
Authorized State Ag � Date: /6 - / z--1
671-') eKsi r -i-/ C-40
U,s�= P, -L T-k-p-x� 61'1'Q
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIASITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):3(
Location of Site: Property Recorded:
Water Supply: Pubhc❑ Individual ❑ Well
Evaluation Method:❑ uger Boring ❑ Pit ❑ Cut
Type of Wastewater: Se age ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
OOTHER
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.2
.1956
Sapro
Class
.1944
Restr
Horiz
W -Pf
Yo
'G
�c��bJts�o
.34.36
lL iL
{t
36u7,
Description Initial Repair System her Factors (.1946):
Sstem Site Classification ):
Available Space(. 1945) Evaluatedted By:
System Type(s) Others Present:
Site LTAR