IPACHTE#s - 3�zz� Harnett County Department of Public Health 28573
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/-- \ PROPERTY LOCATION:Iiwi am
ISSUED Tg: /—r/kUT/l,rs �iGf TTa D+ SUBDIVISION LOT #
NEW C7? REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -1*-7> A
Proposed Wastewater System Type: (lt�ryezaf '-..-l�
Projected Daily Flow: 20 GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes E21 o
Pump Required: Dyes ❑ No fs 11 a required based on final location and elevations of facilities
Type of Water Supply: ElCommunity Iblic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
ff Five years
❑ No expiration
Authorized State AgCwt__ Date: t - 2 —/ r SEE ATTACHED SITE SKETCH
The issuance of this permit by a alth Department in no way guarantees the issuance of other permits. The permit holder is responsible for decking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation Was 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 m compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs. GPM inches below pipe
n�p � �/ Aggregate Depth: 2 inches above pipe
Conditions: ( Jlzsba4�9-C("a-a.- °Lb 111� i LZOSFtiCP(.G ^1 . r 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 system type specified is different from the type specified an the application. / accept the rpeci ina6onr of this permit
Owner/Legal Representative Signature: Date:
This Contraction Authorization is subject to revocation it the site pian, plat or the intended use changes. The Construction Authorization shag not be transferred when there is a dance in ownership n1 the sive. Thic
zonsrmttion Authorization is subject to compliance with the provisions of the Saws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Area• � � � Date: /0- Z'Z-. S-
L% Construction Authorization Expiration Date: a - 2 z --2 v
Construction Authorization
(Required for Building Permit)
The construction and installation requirements
of Rules .1950, .1952, .1954, .1955, .1956, .1951, .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: lir" $,f
w S
PROPERTY LOCATION: FL+ 5
1Ja
SUBDIVISION
LOT #
Facility Type:
CY New ❑❑l Expansion ❑ Repair
Basement? ❑ Yes No
Basemen]
Fixtures? ❑ Yes No
Type of Wastewater System**
,,ATRe,�Jzo+
.
(Initial) Wastewater Flow: Z d o GPD
(See note below, if applicable ❑)
—j
u Lr�l 4m
Zo � F?Z-DN rrc4L (Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size JocsO
gallons
Exact length of each trench V-4 feet
Trench Spacing: Feet on (enter
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover. �_ inches
Maximum Trench Depth of 26' ' "finches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs. GPM inches below pipe
n�p � �/ Aggregate Depth: 2 inches above pipe
Conditions: ( Jlzsba4�9-C("a-a.- °Lb 111� i LZOSFtiCP(.G ^1 . r 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 system type specified is different from the type specified an the application. / accept the rpeci ina6onr of this permit
Owner/Legal Representative Signature: Date:
This Contraction Authorization is subject to revocation it the site pian, plat or the intended use changes. The Construction Authorization shag not be transferred when there is a dance in ownership n1 the sive. Thic
zonsrmttion Authorization is subject to compliance with the provisions of the Saws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Area• � � � Date: /0- Z'Z-. S-
L% Construction Authorization Expiration Date: a - 2 z --2 v
HTE# I S S— 3"l Z—Zq
Permit # Z g� 7 3
Harnett County Depailment of Public Health
Site Sketch
'/ PROPERTY LO(ATON: 41wu 1 �1 o
ISSUED TO: /Tjha /3lL Wo-� SUBDIVISION LOT #
Authorized State aent: Z/ " /iAn! Date:
l
Al
G
�l
pA-�UX-t-D T.
Disc Cr+ f—.,..lG .
µ7 2ro
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°v
Address: Date Evaluated:
Proposed Facility: $`-� Design Flow (.1949):l�
Location of Site:,�/ Property Recorded:
Water Supply: LI public❑ Individual ❑ Well
Evaluation Method: [J --Auger Bori ❑ Pit ❑ Cut
Type of Wastewater: 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
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineadolly
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Resir
Horiz
r.z,y
L -s -Ta
x,12
ruvti✓.P
e
J✓
St'i�rbM-eS
lu•';b
•u
ti
�G � It3"
�—
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948)
Available Space (.1945) Evaluated By: �y,
System Type(s) Others Present:
Site LTAR 14 • 3