IPACHTE# /b =S- 3-1Z83 Harnett County Department of Public Health 28588
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
��77 PROPERTY LOCATION: �yk® 1911 C24
ISSUED T0: J�L4A� DAYS / ra�.o G,e�,.» SUBDIVISION00 -V LOT #.
NEW Z'- REPAIR ❑ EXPANSIOD ❑ Site Improvements required prior to onstroction Authorization Issuance:
Type of Structure: S-Fo
Proposed Wastewater System Type: 215-'ld tlt7fmlrt .—
Projected Daily Flow: L4 %-6 GPD
Number of bedrooms: `T Number of Occupants: _max
Basement ❑Yes L'JINo
Pump Required: ❑Yes ❑ No ❑`Tray, be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community C7 -Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
2five years
❑ No expiration
Authorized State nt:: �' Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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 .1958, .1951, .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: / A-1 404,61n /36 J6a.;? PROPERTY LOCATION: ZR,/4/YS /2n
SUBDIVISION ) b ✓tt.CL.�eo LOT #
Facility Type: i Ker
�ew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Elk
Type of Wastewater System** $, !S (Initial) Wastewater Flow: Yh 6 GPD
(See note below, if applicable EI)
Zb aagakx7nct (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /0-06 gallons Exact length of each trench / vo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2a —) / P— inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: S Feet on Center
Soil Cover. % inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
4� 0 inches below pipe
Aggregate Depth: Z inches above pipe
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.
4 i inches total
**If applicable: / onderrtaod the rystem type spedifed ir different from the type specified on the application. / accept the specihations of thin 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 Sewage Treatment and Disposal and to she conditions of this permit )tit AI IALNLU Nit )At0.N
Authorized State Agent• G Date: /t —G <�
Construction Authorization Expiration Date: / r - 6 - 7.O
HTE# /S- 5-- 3-ne3
Permit # 2 G og
Harnett County Department of Public Health
Site Sketch
;2o
PROPERTY LOCATON:�/w8 M 120
ISSUED TO: /2oNAl Od 1c_s /31AW66+ mgp SUBDIVISION S V LOT #
Authorized State ent: Date:
�o
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N�
Z3,
! K 1/�j Gvr� LT
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:
Address:��r- Date Evaluated:
If
Proposed Facility: Design Flow (.1949): 4(7W
Location of Site: Property Recorded:
Water Supply: Public[]IndividualC1 well
Evaluation Method: ❑ ager Bxg ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
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
Rear
Horiz
�-
GL
~
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1949):l
Available Space(. 1945) Evaluated By:
S stem T s Others Present: �1
Site LTAR {�