IPACHTE#/S- S 3732 r- Harnett County Department of Public Health
28578
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIOWfLJOS-3 IMA -a.).)
ISSUED TO- SUBDIVISION LOT # (o
NEW � REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -5
Proposed Wastewater System Type: Z�7-0/e tZB }j1lGiZ r1��
Projected Daily Flow: 600 GPD
Number of bedrooms: -r Number of Occupants: max
Basement ❑Yes AD ��
Pump Required: ❑Yes El No M be required b d on final location and elevations of facilities
Type of Water Supply: El Community LTJ Public LTJ Well Distance from well 001 feet
Permit conditions:
Permit valid for.
Fire years
❑ No expiration
Authorized State n / Date: /U— GY��/"I SEE ATTACHED SITE SKETCH
The ismznce of this permi th Health Department in no wa guarantees the issuam a of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subjet to revontio a 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, .19S2, .1954, .1955, .1956, .1957, .1959. and .19S9 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: PROPERTY LOCATION:Ese /f?SJ I1 -*,-,&j 2J0
�DSUBDIVISION LOT # S�
Facility Type: 211lew ❑ Expansion ❑ Repair
Basement? ❑ Yes Q"No Basement Fixtures? ❑ Yes AND
Type of Wastewater System" 25610_JZ90U "M-4-� Sr. S 47&x— (Initial) Wastewater Flow: U CU GPD
(See note below, if applicable ❑)
zseI6 TG�Z/1� (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 17,06 gallons Exact length of each trench 100 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: ZcV"r 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: ft. TUN vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC 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 ryrtem type rpealled is different from the type /ped6ed on the application. l accept the spec/ficationr of this permit
Owner/Legal Representative Signature: Date:
This construction Authosmation is subject to revocation it the site plan, plat or the intended use changes. The Construction Authorization shall not be transfemed 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 Sewage Treatment and Disposal and to the conditions of this permit Stt AI IALIll SII[ SA[Il.n
Authorized State ent: Date: /V - Z8 - /
Construction Authorization Expiration Date: /0 -2u - ZEA
HTE#
Permit # 284 7 S
Harnett Connty Department of Public Health
Site Sketch
PROPERTY LOCATON:�/85''3 Mfta,yeb
ISSUED T0: / C',�N. �E�C /�(i�iL SUBDIVISION LOT #
' . 9
Authorized State Date: /D— LS
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: Iairad'"-'
Address: Date Evaluated: /0* 26
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ffPublic❑ Individual ell
Evaluation Method: 0 Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: E—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
Mineralo
.1942
Soil
wetness/
Color
.1943
Soil
Depth IN.)
1956-
Sapro
Class
1944
Restr
Horiz
I
T— �a
L'
t$
sl.
„sarP
is- 4w
Sca_.
,t AM of 67
7A"KTi
SLID,
t jo •v Z S
S'
T
w18
5L
n>arlP
J`2-'i'i
S lr
Description Initial Repair System Other Factors (.1946):
System Site Classification):
Available S ace (.1945) Evaluatedted By:
System Type(s) v". Others Present:
Site LTAR • K