IPACHTE # /`S —3-7 277 Harnett County Department of Public Health 28651
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:gds
ISSUED TO: a- SUBDIVISION -SHa
t--5 LOT #
NEW [2r REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: c�s
Proposed Wastewater System Type: 2Saly f2 13�AvJrhX2Jl�
Projected Daily Flow: 4 `d O GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes LTJ No
Pump Required: ❑Yes ❑ No MM be required based on final location and elevations of facilities ,/
Type of Water Supply: El Community fJ Public 71 Well Distance from well feet Permit valid for. 21 Live years
Permit conditions: ❑ No expiration
Authorized State Ain• t:ate: ! z — io — t -5— SEE ATTACHED SITE SKETCH
uarantees the issuance of other
The issuance of this permit by Ith Department in no way gpermits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if a 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 construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be instilled in accordance
with the attached system layout.
ISSUED TO: - 76- A;:4K d,PROPERTY LOCATION: V,'QJ
SUBDIVISION S LOT #
Facility Type: Q" New �❑� Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Ld'No
Type of Wastewater System** 25°6o TZawhr -SZdy 25!.45 sl -r, (Initial) Wastewater Flow: eO GPD
(See note below, if applicable ❑)
29%fit/[ rUd-) %(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 17,00 gallons Exact length of each trench i c>3 feet Trench Spacing: l Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. riches
Maximum Trench Depth of: 21 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. TON vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATIONS 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
L inches above pipe
A- inches total
**If applicable: / ondetrtand the grtem type rper'ifed it d1herent from rhe type rpedfred on the application. / accept the rperi6rationr o/ ihir permit
Owner/Legal Representative Signature: Date:
This construction Authorisation 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
lonstmctmn Authonxaton is subject to compliance with the prowsions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit btt AI IALHtU Slit MEILH
Authorized State A Date:
t Construction Authorization Expiration Date: w— / t) — 7a
HTE#
Permit # Z 1�3 (e 5-1
Harnett County Department of 11Vblic Health
Site Sketch
PROPERTY LOEATON:
ISSUED TO: ffSAAIOrl 44 SUBDIVISION LOT #
Authorized State A pL / �.( Date: le _ /5
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: Date Evaluated: / o •2z
Proposed Facility: Design Flow(. 1949):-jQp
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: --Er—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
Swcturel
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Hom
Ct
Z 5
1$
s
ann
Yz
-c-
c-SL
i ,TG
5Z_
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated
System Type(s) Others Present:
Site LTAR �(