IPACNTE# �G- S=39Y8Z Harnett County Department of Public Health 29064
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�� /J��� PROPERTY LOCATION: ly7JZ�
ISSUED TO: �-ot-ia/c/N.J x.0 SUBDIVISION LOT #
NEW EV REPAIR S EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 2S`Zu
Projected Daily Flow: !I GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes E5 "No �
be
Pump Required: ❑Yes El No N M required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State ent.: %i0).dw6xST Date: /zp— t5 _/ G SEE ATTACHED SITE SKETCH
The ismann of this permit a Health Department in no way guarantees the issuance of other permits. The permit holder u responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocatui the site plant 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, .1951, .1958. and .1959 an incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED T07 1J� � ��� �� __ PROPERTY LOCATION::%'& l9L%V1
SUBDIVISION LOT #
Facility Type: 1Y New Expansion ❑ Repair
Basement? ❑ Yes 56 No Basement Fixtures? ❑Yes CXc
Type of Wastewater System** 9'6' %lr� ;j:7, S �—R— (Initial) Wastewater Flow: `Z' GPD
(See note below, if applicable ❑) '
�5 (Repair)
Installation Requirements/Conditions Number of trenches Z_
SepticTank Size/;10 y gallons Exact length of each trench / Sb feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 22-7/8 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDM 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 (IN(LUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
!� inches below pipe
—� inches above pipe
/ Z inches total
**If applicable: / understand the system type specifed is d0rent from the type spec/fed on the application. / acrnpt the spedfcationr of 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
committee Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and tp�the
oconditions of this permit ILL AI IALHLU SIIL SKLILH
Authorized State e • /""date: /d—!'+"/b
nstruction Authorization Expiration Date:
HTE# IIe `5-- 39gSZ
Permit # % 0 o
Harnett Count- Department of hihlic Health
Site Sketch
�� —�� PROPERTYLISION �i�lLYSIo
ISSUED T0: f'�i.��/�v�L SUBDIVISION LOT #
Authorized State enr. C� /gyp' Date: /V "/13 —/ L
- ((jt ()b6 WD D SOAC ( -Zb
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant t;-- t , Xx --�
Address: Date Evaluated: 'A�'-/�-!
Proposed Facility: 5 .�—y� Design Flow (.1949)::ad
Location of Site! Property Recorded:
Water Supply: (Public❑ Individual ❑ Well
Evaluation Method:Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑-Seavgge ❑ 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
Structure/
Texture
.1941
Consistence
Minetalogy
.1942
Soil
Wetness/
Color
.1943
Soil
Deptli IN.
.1956
Sapro
Class
.1944
Rent
Honz
tZ
SL
o - /Z
5L
Z- 1
�p
i/iti �VJLi.
dU 1(JN
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948).7 S,
Available Space(. 1945) Evaluated By
5 stem T e(s) L Others Present:
Site LTAR �Y