IPACHTE#/ —r 3:7 7 Harnett County Department of Public Health 28565
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�J PROPERTY LOCATIO : I 'i-`7 /�.
ISSUED TO: % � �3✓�� -;-y- SUBDIVISION LOT #
NEW d REPAIR t❑r, EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: d'!^�
Proposed Wastewater System Type: VrS' SQL
Projected Daily Flow: -35'7c� GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes Elis ��
Pump Required: Dyes ❑ No IG�May Is quired based on final location and elevations of facilities
Type of Water Supply: ❑ Community f�' Public ❑ Well Distance from well feet Permit valid for. 2'Five years
Permit conditions: ❑ No expiration
Authorized Sta f Date: / U —1S 5 SEE ATTACHED SITE SKETCH
The issuance of this Penni Health Deparunent m no way guanncees the iuuance of other permits. The permit holder is responsible for clocking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it the site plan, plat, or the intended use changes. The Improvement Permit shill 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
Reouired for Building Permit
The constzuctian and installation requirements of Rules Also, .19S2, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references inns this permit and shall be met. Systems shall be installed in accordance
with the atadned system layout. g ' A
ISSUED M--'VAi �o 4-� PROPERTY LOCATION: 7S211/37
% SUBDIVISION �L^ �� r�7r. �- LOT # /f/7
Facility Type: fQ New xpansionz ❑ Repair
Basement? ❑ Yes VNo Basement Fixtures? ❑ Yes fd No
Type of Wastewater System** LS°ti,T UI,.lo- '- 5j -W k' (Initial) Wastewater Flow: 36 o GPD
(See note below, if applicable ❑)
2�a/o 17�-iU GGt*"L S,as fi?.-(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size - gallons Exact length of each trench �b feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 2y inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: fC TON vs. GPM
Conditions:
Trench Spacing: / feet on Center
Soil Cover. riches
(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
2 inches above pipe
inches total
**If applicable: / understand the system type sperifled it different from the type sperfined on the app/nation. / aaept the rpealtad= of this permit
Owner/Legal Representative Signature: Date:
This concoction Authorization is subject to revocation it the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
tonstmamn Mountainous is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal ann�d to the conditions of this permit Stt AI IAL111[U Slit )Il
Authorized Staf ent� i =off Date: /6 - / S - / Y'
r Construction Authorization Expiration Date: /0- / S-'-20
HTE#-3-71bS Permit # Z$S-(oS-
Harnett County Department of YTzblic Health
Site Sketch
PROPERTY LOCATON: ZK 14 3 7 /3 � 121\
ISSUED T0: ST/3ur��.c5 -/� SUBDIVISION ���`�e-,N�c LOT #
Authorized State ¢ent: 1 � �7�'C� Date: b —i7 S'
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: jriFN'9,Z
Address: Date Evaluated: 16-1 i.{ S `
Proposed Facility: Design Flow (.1949): 3(.;2>
Location of Site: Property Recorded:
Water Supply: Public❑ Individual E3 Well
Evaluation Method: E]uger Borin ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ 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
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
rte,
JrL -L »,,
AL a*L Am
-ew
V4
, 3
2
L �7�
a -8
is-csT—
r.,t�•c,usN�
49
aJ ft"s •
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945Evaluated By:
System T e(s .6 Others Present:
Site LTAR