IPAC RHTE# s"7r7 je Harnett County Department of Public Health 28569
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�
� PROPERTY LOCATION: F/ ks., 36/
ISSUED TO: / �T SUBDIVISION LOT #
NEW REPAIR
El ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1�U%
Proposed Wastewater System Type: ZSz'lo I LEWSU--
Projected Daily Flow: 'J 42-0 GPD
Number of bedrooms: 2 Number of Occupants: max
Basement ❑YesL� No
Pump Required: ❑Yes ❑ No Mayy�e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community [r Public ❑ Well Distance from well feet Permit valid for. 0 -Five years
Permit conditions: ❑ No expiration
Authorized State Date:TT j SEE ATTACHED SITE SKETCH
The issuance of this permit 6 Health Department in no way guarantees the issuance of other permits. The permit holder a responsible for checking with appropriate governing bodies in meeting their requirememm This
sire 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, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 me incorporated by references into this permit and shall be out Systems shall be installed in accordance
with the attached system layout
ISSUED TO: T,AI .4 / /Zc fJIJ PROPERTY LOCATION: !d-r.sa, Te /
SUBDIVISION LOT #
Facility Type: C'1 New ❑Expansion El Repair
Basement? El Yes No Basement Fixtures? El Yes No
Type of Wastewater System** 0504 �t/L) to» �,.,s� Com_ (Initial) Wastewater Flow: 342-0 GPD
(See note below, if applicable ❑)
25"la 12P- 'bv "7",— (Repair)
Installation Requirements/Conditions Number of trenches `S
Septic Tank Size10610 gallons Exact length of each trend feet Trench Spacing: feet on Center
Pump Tank Size gallons
Pump Requirements: ft TON vs.
Conditions:
Trenches shall be installed on contour at a
Maximum Trench Depth of 2_2 inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
GPM
Soil Cover. C inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
Z inches above pipe
12— inches total
**If applicable: / endeataad the system type specibed is different from the t)pe specified im the app/ication. / accept the rpeabcationc o/ 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 he transferred when dere it a change in ownership of the site. This
construction Authorization is
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 Sta ent: Date: I& —/ )—,/ )"
Construction Auth rization Expiration Date: i o —r s^ -Z01
HTE# .15---5-- M571 -7*
Permit # 2-65-6
Harnett County Department of lNiblic Health
Site Sketch
PROPERTY LO(ATON: 3d
ISSUED TO: SUBDIVISION LOT #
Authorized State Ag t: Date:
1p/41�
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: ate Evaluated:
Proposed Facility:' Design Flow (.1949): 3L.8
Location of Site: Property Recorded:
Water Supply: []'Public❑ Individual ❑ Well
Evaluation Method: Auger Boog ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
Sam
Class
.1944
Restr
Horiz
LeL
e4 GA,
7`f-4
X -c
YL
q
Z
3�
fit- 142,
cC-cs
i7 3-19 5J
j
3
-SAO,
L
Description Initial Repair System Other Factors (.1946)-
System
946):S stem Site Classification ):
Available Space(. 1945) Evaluatedted By:
System Type(s) Others Present:
Site LTAR • 3