IPACHTE# 1'�`=� 3� I D Harnett County Department of Public Health 28568
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
n ��C PROPERTY LOCATION -be— I`131 Z41 bo-rz1
ISSUED SUBDIVISION t1�� LOT # 3�
NEW REPAIR AFD EKPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z5`la Rsf?-Dch-r-t r1
Projected Daily Flow: '3 4-4 GPD
Number of bedrooms: Number of Occupants: max
Basement Dyes
Pump Required: ❑Yes ❑ NoMa,p4e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Z Public ❑ Well Distance from well feet
Permit Conditions:
Permit valid for.
E2Fve years
❑ No expiration
Authorized State nt:: Date: /o— /!n / S SEE ATTACHED SITE SKETCH
The issuance of this permit by alth Department in no way guarantees 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 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 are incorporated by references into this permit and shall he met. Systems shall be installed in accordance
with the attached system layout /
ISSUED TO: �TAyJC -/ 3,�I� PROPERTY LOCA,,T��1IONH":6�,cJ�q 3,-7, t3,41U -r%, rZAD
/
SUBDIVISION !-cA�.f- LOT # _
facility Type: 3-INew �❑Axpansion El Repair
Basement? El Yes No Basement Fixtures? 11 Yes [2J 0
Type of Wastewater System** "6 fZ"-'-WCEZtTV5.,3fa3+ 7- (Initial) Wastewater Flow:y GPD
(See note below, if applicable ❑)
zS"�y 12,8b CS -Wil (Repair)
Installation Requirements/Conditions Number of trent es q
Septic Tank Sized/ OG gallons Exact length of each trench �)� 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: N 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: N. TUN vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type speciled is different from the type specified on the app/icadon. / adept the toeci6cmionc of chic 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 of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for
Authorized
Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
/'o d (z —/ Y—
Construction Authorization Expiration Date: / 0 -/4 -L'6
HTE# IS 5-fS11"70
Permit # 2ps-Ls
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: - Sx /c/ -v /3iL�Ny �%4
ISSUED TO: 5!*Ay—U /3)c4 i�f�2[SzLr— SUBDIVISION JA4.+. /?bc k LOT # sca
Authorized State Ag oft /� / C Date:
bV3
4
Pit
1•
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: AF
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:❑
Type of Wastewater:
Sheet:
Property ID:
Lot #:
File #:
Code:
rlicanb v' '� `
Date Evaluated:
Design Flow (.1949): Property Size:
Property Recorded:
[]'Public❑ Individuate ❑ Well ❑ Spring
Auger Boring [I Pit ❑ Cut
2-9ewage ❑ 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
D IN.
.1956
Salim
Class
.1944
Restr
Horiz
I r 2
2
Z-
Others Present:
Site LTAR
I Z -Y
Se is
1VOL, S,a
Description
Initial
Repair System
Other Factors (.1946):
System
/
Site Classification (.1948): t-->
Available Space(. 1945)
Evaluated By:
S stem T s
2
Z-
Others Present:
Site LTAR