IPACHTE# ra- sT ~t Harnett County Department of Public Health
hDrovement Permit 2 7 0 0 0
A building permit cannot be issued with only an Improvement ~#mit
PROPERTY LOCATION: V~ ,3 6f-~ rs
ISSUED T0: -T15(aP\L-)- Ly SUBDIVISION f2D"ViQ,w) a'ahy-, LOT #
NEW` REPAIR ❑ ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:' ZGOV C 4 fJ J4
Projected Daily Flow: 3 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes -~!ONo
Pump Required: ❑Yes ❑ No ay be 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 Agent:: Date: 'J' I 3 v SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees issuance of other permits. The permit holde is resp nsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation 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, .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.
ISSUED T0:'~te PROPERTY LOCATION: _ SUBDIVISION A-7%5 t °~5 P , LOT # ~
facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** ~S°l: 0ycrS> ct N S~:5 C°,S'C\ (Initial) Wastewater Flow: O GPD
(See note below, if applicable _
U ~P 1 c, Q.S"/Q 9-4 _ t_,(~~ 10 rj (Repair)
Installation Requirements/Conditions Number of trenches )
Septic Tank Size - b bG gallons Exact length of each trench es feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ! -A 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: G -nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
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 system type specified is different from the type specified on the application. / accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revo on 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 subilsct toNoinpliance with ~'`revr~ps` f-the_Laws~and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ads Date:
Constructio thorization Expiration Date:
HTE # Q-_5 Permit # a--)D0 0
Harnett County department of Health
Site ketch
ISSUED T0:
Authorized State Agent:
1 3-~
PROPERTY LOCATON: -AGE;. , j ~
_ SUBDIVISION LOT # -1
Date: I-)
150,
~~a
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: ZOOM Design Flow (.1949): -~'60 Property Size: CY)
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method uger ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F
I .1940
SOIL MORPHOLOGY
.1941
OTHER
PROFIF F. FA['.TORC
E
#
M
uuuacayc nunzon
Position/ Depth
Slope % (In.)
L5
1
.1941
Structure/
Texture
G
.1941
Consistence
Mineralo
as)NQ
.1942
Soil
Wetness/
Color
1943
DO1IN
1956
Sapro
Class
.1944 Profile
Restr Class
Horiz & LTAR
1"211~ ,
SL
Cl - Q
ka
I
ta=3S
G --L
S5
3 ~
~~c
n ssl °
?ci'-) l -7LW
sL
~a s~
S
Description Initial Re air System Other Factors (.1946):
S ste Site Classification (.1948): ~.S
Available Spa)) .1945) Evaluated 8):
Site LTAR ~s) f Y Others Present: ~Tj\