IPACHTE# /5—S-3Harnett County Department of Public Health 28674
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 7fX&Iy6 0 /A 75 Ile?iIs–
ISSUEDTO/• / (J I ! %71�V`�J %� G SUBDIVISION dYt tt91040,e, LOT # / N
NEW f3 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: _ZfZa ri3P->0
Projected Daily Flow: -216_Q) GPD
Number of bedrooms: Z Number of Occupants: all
Basement []Yes
Pump Required: []Yes ❑ No Ma e required based on final location and elevations of facilities 2/
Type of Water Supply: El Community [ Public ElWell Distance from well feet Permit valid for. h/ Five years
Permit conditions: ❑ No expiration
Authorized State A Date: / – / /(, SEE ATTACHED SITE SKETCH
The issuance of this permit a lWalth 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 rerocati if in plan, plat, or the intended use changes. The Improvement Permit shall not he affected by a change in ownership of the sin. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and m conditions of this permit.
Construction Authorization
Required for Building Permit)
The construction and instillation requirements of Rules .1950, .1952, .1954, .1955, .1956..1951, .1956. 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: - ( � �G PROPERTY LOCATION:
/ SUBDIVISION X, 19 r�r� LOT #
Facility Type: C3 New ❑ Expansion ❑ Repair
Basement? ❑ Yes 9 No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater Systemww 1S01L 17L/)JC7 t ll A-) s ffn (Initial) Wastewater Flow: . 3(o6 GPD
(See note below, if applicable ❑) /
I s e (Repair)
Installation Requirements/Condi6ons Number of trenches 2
Septic Tank Size /6002 gallons Exact length of each trench /ZO feet
Pump Tank Size ./oyy gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z!f 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. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
Z inches above pipe
17 inches total
"If applicable: / anderstand the sweet type specified is different from the type specih'ed on the application. / accept the specilrations o/ this 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 the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agyrt-_Date:
I Construction Authorization Expiration Date: /-/-5-7-1
HTE# /5 — S'3%L,%07 Permit # 296-7Y
Harnett County Department of Public Health
Site 'ketch
// _ PROPERTY LOCATON: /� S%9F/ 2/6
ISSUED T0: �n �/ �z jC SUBDIVISION LOT # _
Authorized State A, h- � <� �iSS^�� Date:
G�
---------- ---------
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:
Proposed Facility: _01 ' Design Flow (.1949)) (;r
Location of Site: Property Recorded:
Water Supply: Q•'1'ublic❑ Individual ❑ Well
Evaluation Method: ❑-Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: }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%
Horimn
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
Restr
Horiz
1. L17
LAS.
L.—
o =3a
SL.
frl�
'4$
J�
� -1
DescriptionInitial Repair System Other Factors (.1946):
System Site Classification (.1948): l�
Available Space(. 1945) Evaluated By:
System Type(s) Others Present:
Site LTAR