IPACHTE# f°a y Harnett County Department of Public Health 28561
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION: d!`J
ISSUED TO: (_ 6 SUBDIVISION /JL %/ LOT #
NEW I" REPJUB.j_7. EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: i--a�
Proposed Wastewater System Type: 'LVT
Projected Daily Flow: 3 &a—m GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: 131es ❑ No ❑ MMay� required based on final location and elevations of facilities
Type of Water Supply:
El ld Public ❑ Well Distance From well feet Permit valid for. Olive years
Permit conditions: ❑ No expiration
Authorized State A,i�3lYC/A^f� Date: / D— t2—d t SEE ATTACHED SITE SKETCH
The issuance of this permit by H 'sh Department in no—way tmanaes 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 s 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 provisiom 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: `/� �TJir �_� PROPERTY LOCATION: 0 .Zf01'-
SUBDIVISION Int /// LOT # `1
Facility Type: �Q New ❑Expansion ElRepair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes E No
Type of Wastewater System** Ice d) ct-V 2 6 ar&Wz Rd\ (Initial) Wastewater Flow: flap GPD
(See note below, if applicable
E u 'Z -TT -2— &+Qi 12�Z.fReair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /00 b gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size jcao 0 gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: Zq 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: �inches above pipe
Conditions: ?V. ,t� V11A., +J6�— a /Jt?�iA2/> 7-2 inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the tyre em type spedled it different from the type speciled on the app/iadon. / accept the specifications 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 it a change in ownership of the site. This
Lonstruction Authorization is subject to compliance with the provmumis of the Laws and Rules for Sewage treatment and Disposal and to the conditions of this permtL aCC nl IIRIICU 311C MCllll
Authorized Stallic_gen '7 Date: td -17 -
Construction Authorization Expiration Date: A c
3.7o8y
HTE# 'S-aM3Cft Permit # 2OS-6
Harnett County .Department of IlUblic Health
Site Sketch
�_ ��/ / PROPERTY LOCATON&)- L-fis / nl
ISSUED TO: rywf-, / SUBDIVISION ✓L. t( LOT #
Authorized State Ait 6
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ILCL
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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:V
Address: v Date Evaluated:I�'�'t�^
Proposed Facility: aDesign Flow (.1949): 3fpb
Location of Site:��Property Recorded:
Water Supply: E?fublic❑ IndividE] Well
Evaluation Method:[] Auger �BBonip�SS Pit ❑ Cut
Type of Wastewater: LdlSewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
-F---
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
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
2 3
&
0,1V
st
S .0
3 Y-Ktii
�Y
9 <�
s��
t-
o -,Z0
sc.
1
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): (—'5
Available Space(. 1945) Evaluated By:
System Type(s) Others Present: /)�I
Site LTAR It