IPACHTE# ;�_S — 3% i U Harnett County Department of Public Health 28570
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
? PROPERTY LOCATION:30-/-/(/; 47 -Ac, -i -S fuA
ISSUED SUBDIVISION /I I-P<X- s c F LOT # Jam__
NEW 2r REPAIR ❑ EXPANSION Site Improvements required prior 4 Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 25�/ attYJt?t/v
Projected Daily Flow: "1530 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes
Pump Required: []Yes Cl No LTJ Ma be required based on final location and elevations of facilities
Type of Water Supply: El Community f?Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Z Five years
❑ No expiration
Authorized State A Date: /� / 7 't SEE ATTACHED SITE SKETCH
The issuance of this permit by a y guaraalth Department in no ntees 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 i site pian, 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 (onstmrnon and installation requirements of Rules .1958, .1952, .19S4, .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: Z4, a//ya-ots 43Aa1c)L-� �°%° PROPERTY LOCATION: 1�/
7 SUBDIVISION LOT # / S
Facility Type: New ❑�xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? 11 Ye! L T No
Type of Wastewater System** 25414 ii`Z� <Y -U-2) �-5 F Yom,— (Initial) Wastewater Flow: y 80 GPD
(See note below, if applicable ❑) \
Za%A(Repair)
Installation Requirements/Conditions Number of trenchef 3
Septic Tank SizeV� D d gallons Exact length of each trench / 9 A feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 22 —)18 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDM vs. GPM
Conditions:
Trench Spacing: / Feet on Center
Soil Cover._ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: L inches above pipe
/L inches total
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.
**If applicable: / understand the system type speciled is different from the type specified on the application. l accept the specilcatlims 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 of the site. Thu
Construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to rhe conditions of this permit )tt AI IALHtU lilt Mtll.n
Authorized State A Date: /U—t 9 -/N
Construction Authorization Expiration Date: r 0 - 19 - 7 D
HTE# /S- S-3121 v
Permit # 2'8 'S''7 O
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:S.[J�/°/ QTll�itl� /fes
ISSUED TO: /6,g�I d�_ u� �C.wv� SUBDIVISION ,J < </T A LOT #
Authorized State Date:
Q
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:'``/ -4
Address: Date Evaluated: « - r ��
Proposed Facility: ICO Design Flow(. 1949):
Location of Site: Property Recorded:
Water Supply: 0 Public❑ Individual ❑ Well
Evaluation Method:[3`Auga Boring ❑ Pit ❑ Cut
Type of Wastewater: [3/Sewage ❑ 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
& LIAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
S)_
A-r_V
r--
Description Initial Repair System Other Factors (.1946):
Available Space(. 19�4�5)S stem Site Classification (.1948):
Available Space(. (.1945) Evaluated By
System Type(s)) Others Present:
Site LTAR