IPACHTE# Ile— S— No4-S2 Harnett County Department of Public Health 29175
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
A PROPERTY LOCATION: LI3 �n3 LL R
ISSUED TO�/I/L%c e�/t ► Cy SUBDIVISION r'+-- s.;Q Loch_yw� LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: art>
Proposed Wastewater System Type: -2`SkS Y1sr�_
Projected Daily Flow: 6 GPD
Number of bedris : � Number of Occupants: $ max
Basement esNo
Pump Required: es ❑ No ❑ Ma required based on final location and elevations of facilities f�
Type of Water Supply: ❑ Community Publjc ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State nt:: 1"Date: L Z -/d— 1:7 SEE ATTACHED SITE SKETCH
The issuance of this permit by I Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking wi— th napropriate governing bodies in meeting their requirements. This
site is subject to meoatimn . e 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, .1951, .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. // nn /
ISSUED TO: 6t _101_4 .,l/ ff� -� �T �� PROPERTY LOCATIO C
SUBDIVISION LOT # i-3-6
Facility Type:_ Expansion Repair
Basement? Yes ❑ No Basement Fixtures?eld Y s ❑ No
Type of Wastewater System** (Initial) Wastewater Flow: CIS C:) GPD
(See note below, if applicable ❑) G�
air)/
Installation Requirements/Conditions Number of trenches
Septic Tank Size 12eM gallons Exact length of each trench a O feet Trench Spacing: 51 Feet on Center
Pump Tank Size�D gallons
Pump Requirements: ft. TDM vs.
Conditions:
Trenches shall be installed on contour at a
Maximum Trench Depth of. 61 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Soil Cover. 4;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
—4Z inches total
**If applicable: / understand the system type specib'ed is differem, from the type speci/'ed on the application. / accept the rpeallcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the sire 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
tonstrucmn Authomauon is subject to compliance wish the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE AI IACHEU Silt SKETCH
Authorized State g n • ZZ?YAa 'Date: Z 162-1 7
Construction Authorization Expiration Date: 7,46 — ZZ
HTE# �l J l ' y0%3z Permit # o;? -'5 / % 5
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON. �i3] F�A E.(d n� ✓Uz
ISSUED T0: �lJti �1Q /}r o� Iitl h- r7jL SUBDIVISION /3/-tG�i—. 7" 5 LOT # �• (—
Authorized State
2,-,v -1 7
"
V,3
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:--(r-�/ J
Proposed Facility: Design Flow (.1949): i/,ZZ0
Location of Site:1`•��� Property Recorded:
Water Supply: B- ublic❑ Individual ❑ Well
Evaluation Method:[,]/Yuger Bed ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ 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
Mineralo
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956.1944
Sapro
Class
Rest
Horiz
Z
i-
/Z
�5
.—
Description Initial Repair Syst n Other Factors (.1946):
System Site Classification (1948): Els
Available Space (.1945) Evaluated By;O- --..
S stem Type(s) Others Present:
Site LTAR t