IPACNTF#�5 —S —3��a3 Harnett County Department of Public Health 28653
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0 -I/! �Q/Lm GPROPERTY LOCATION:Z&* SS
SUBDIVISION
LOT #
NEW E?r REPAIR ❑ EXPANSION ❑
Type of Structure: '��
Proposed Wastewater System Type: ?603?a R/d�S uirtel�
Projected Daily Flow: —5 Cao GPD
Number of bedrooms: — Number of Occupants: max
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes
Type of Water Supply:
f'J Five years
Permit conditions:
❑ No expiration
❑ No [?'M,, be required based on final location and elevations of facilities
❑ Community Public ❑ Well Distance from well feet
Permit valid for.
Construction Authori
Authorized State— G Date: // ' ZS — / b SEE ATTACHED SITE SKETCH
The issuance of this permit a alth 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 rerocation 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 te 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 installed in accordance
with the attached system layout n
ISSUED TO: �,,.�/�aA-a.� X^k, PROPERTY LOCATION: l.-,A,y SS
SUBDIVISION LOT #
Facility Type: �� LZ- New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Zko
Type of Wastewater System** 2:5 T12, Lon—,�7.5 4,7 (Initial) Wastewater Flow: 3(0-6 GPD
(See note below, if applicable ❑)
%Scis (�T:�lu�Zv` (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size Dom/ D U gallons Exact length of each trench Pia feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of Zo inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDH vs. GPM
Conditions:
Trench Spacing: � Feet on Center
Soil Cover. 4; inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Y 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.
/L inches total
**If applicable: / understand the t}rtem type rpedfled h diherent from the type rpedbed on the app/ic2den. / accept the rpeci6canour of thir 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 Authorisation shall not be mnsferred when ticere is a change in ownership of the site. This
concoction Authorization is
Authorized State
with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: //— Z3 /s --
zation Expiration Date: /t
HTE# /S- S 3-7qa3
Permit # Z8G 5 3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: ��t✓a SSr
ISSUED TO: LUrnJnP lH d� /+`y�-ate /NC SUBDIVISION LOTZj—
#
Authorized State nt c/— �r�A.-/� d Date: //- ZS -/S
CIVY-f5 L— /,f A-,7 S f
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: Clj_ —'�
Address: Date Evaluated:
Proposed Facility: •54-'4 Design Flow (.1949): 34v6
Location of Site:,,���� Property Recorded:
L4
Water Supply: rublic❑ Individual ❑ Well
Evaluation Method: ❑�er Boring ❑ 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
3
Description Initial Repair System Other Factors (.1946):
System— Site Classification (.1948):
Available Space (.1945) Evaluated By: 07__
System Type(s)) Others Present:
Site LTAR