IPACNTE# Harnett County Department of Public Health 28684
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�o f.� F Cts PROPERTY LOCATION:fxJ 4 YD J k3i - � rJ ,
ISSUED TQi SUBDIVISION LOT #
NEW C+f REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'Z& LZ ✓K -6-f
Proposed Wastewater System Type: Z soh,
Projected Daily flow: 31.15 GPD
Number of bedrooms: Number of Occupants: 4 max
Basement ❑Yes o
Pump Required: Dyes ❑ No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ZPublic ❑ Well Distance from well feet Permit valid for.
Permit conditions:
wive years
❑ No expiration
Authorized State Age • v Date: L— 3— 1(o SEE ATTACHED SITE SKETCH
The issuance of this permit by t e 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 requirement. This
site u subject to rescission 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 .1950, .1952, .1954, .1955, .1956, AST, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall he installed in accordance
with the attached system layout
ISSUED TO: 1'9�11, )A. J c C h71¢i PROPERTY LOCATION: -8 q "16J w� --� /Jon,x s /t/Ca
SUBDIVISION LOT #
Facility Type: ra r� H LrNew �❑/Expansion ❑ Repair
Basement? 11 Yes No Basement Fixtures? E -1L1 Yes No /
Type of Wastewater System"2j 2f� *—^ �z 5{ s:,�/�'Q1Jd Nnitial) Wastewater Flow: 36-6 GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions Number d trenches Z
Septic Tank Size I/ no D gallons
Pump Tank Size gallons
Exact length of each trench h feet
Trenches shall be installed on contour at a
Maximum Trench Depth of ! S� r' ches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: fL TON vs. GPM
Conditions:
10
Trench Spacing: / Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: 2 inches above pipe
/ 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: is understand the system type specified it different from the type stsecif'ed on the application. f accept the specifcmions of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revoaUon 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
tonstructmn wmmation is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Sts AI IACHLU Slit SKLICH
Authorized State Age 5Date: Z- 3 — /(^
Construction Authorization Expiration Date: Z— 3 — z/
HTE #/ — ? - 3n7 68 Permit # 2 9(0 Sl
Harnett County Department of IlUblic Health
Site Sketelt
h0
� � � PROPERTY LOCATON:. L/L/LfD q-�+,+--� o it+c 5 ✓/n
ISSUED TO: I LJ�,JL t2_ SUBDIVISION LOT #
Authorized State A t: �,-�`—�'�� � / " /Ari Date: L – 3
IA'
1�
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: ( p' n Z}2=16
Address: Date Evaluated:
Proposed Facility: S�*n'R'" Design Flow (.1949): 3-42r,6
Location of Site: ,.,� Property Recorded:
Water Supply: _ E rublic❑ Individual ❑ Well
Evaluation Metbod: AugeraBBorinn [3 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 %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth U1.
.1956
Sapro
Class
.1944
Restr
Horiz
C.- Zb
75L,zA
A�
- 3&
CL.
1�I
L
3Z" 3
3
Z2 -3L
SQL
W
,g 1
3 2 � -7.brf.
L-73.5
a- SY
SC
r,
n4b
Description Initial Repair System Other Pactors (.1946)'
System Site Classification (.1948):
Available Space(. 1945) Evaluated By
System Te(s Others Present:
Site LTAR