IPACHTE# IS- - 313rHarnett County Department of Public Health 28660
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION-
ISSUESUBDIVISION �rai
eLHWic�k/ 2A
_ LOT # /
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Jf-f---.)
Proposed Wastewater System Type: 7,11%f7tJULu�
Projected Daily Flow: 3t.o GPD
Number of bedrooms:— Number of Occupants: max
Basement ❑Yes LTNo — /
Pump Required: ❑Yes ❑ No f�"Mae required based on final location and elevations of fadlities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Olive years
❑ No expiration
Authorized State A tDate: 1? —9 — t SEE ATTACHED SITE SKETCH
The issuance of this permit //b�� lealth 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 revocatio�y�Wie site plan, plat or the intended use changes. The Improvement Permit shall not he affected by a change in ownership of the site. This permit is subject to compliance with the pmisiom of
the laws and Pules 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
ISSUED TO: :7 7 a PROPERTY LOCATION:' li Lti r 124,415 IZA
l/ SUBDIVISION C4�� P LOT # / 3
Facility Type: Ekl�esv ❑I xpansion Repair
Basement? E]Yes No Basement Fixtures? ElYes LXNo
Type of Wastewater System** 2,06 r2of-Dtrestv., A-ew!54-P—_ (Initial) Wastewater Flow: 34� GPD
(See note below, if applicable ❑)
2'v% Rth .s w-- y�y___stlL—. (Repair)
Installation Requirements/Conditions Number of trenches J, �, 2
Septic Tank Size oo-b gallons Exact length of each trench Z V feet Trench Spacing: ! Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. riches
Maximum Trench Depth of: ZZ 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. TDH vs. GPM inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: e�daz<� �iL rl,'� ay-s:..rr aN'QiC"jal. /Z inches total
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.
**If applicable: / understand the ryitem type specifved is different /rem the type rpeciled on the app/icaden. / arrept the rpetrfcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocotion 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 she laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit At AI IALHtU NIC MOO
Authorized State Age • 4A— � Date: /1
Construction Authorization Expiration Date: /I- Z'6
Permit # v � �o(]
HTE# Vs "— " 3'3�S
Harnett County Department of nll)lic Health
Site Sketch
e iaGu�l�H
PROPERTY LOCATON: S.. l `i� S LOT # 13
Jy�G /.�,��----
ISSUED T0: t ^ � SUBDIVISION N
Date:
Authorized State Ag
opt, s —G Ft44-4r-)
Z�-57;4-1i.
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: p Date Evaluated
Proposed Facility: 79-" •� Design Flow(. 1'949): _aZao6
Location of Site: Property Recorded:
Water Supply: aPublic❑ Individual ❑ Well
Evaluation Method: El Auger Boring 0-1,11 ❑ 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 J
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
Restr
Horiz
0 -Is-
.4,
AL
I qL)M4
Z
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U '70
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available S ace (.1945) le,Evaluated By:
System Type(s) Others Present:
Site LTAR