IPACHTE# ,/a-,s- a'~ a.00 Harnett County Department of Public Health
Improvement Permit 2 71 0 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: a?
ISSUED T, O- YA A C V1.X1r-%J1J`. acs SUBDIVISION 7-,' A LOT # 44,6
NEW is REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -5 K) 5-0' X 5-5-
Proposed Wastewater System Type: oZ5'-y .eed-l+:
Projected Daily Flow: 3 C9 O GPD
Number of bedrooms: 3 Number of Occupants: C~ max
Basement ❑Yes 04,~0
Pump Required: ❑Yes R?/'N0 ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community EX-Public ❑ Well Distance from well feet Permit valid for. eve years
Permit conditions: ❑ No expiration
Authorized State Agent:: 4X- Wes.- A,eEfl1 Date: `7f/< ~2-0C Z SEE ATTACHED SITE SKETCH
The issuance of this permit by t Health 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 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: PROPERTY LOCATION: a ?
SUBDIVISION nge,. Pd:,ti~e LOT # 1k8
Facility Type: ~5- F0 VNew ❑ Expansion ----R' Repair
Basement? ❑ Yes Cry No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** l r7' ,e exQv c -m . r ~cr (Initial) Wastewater Flow: 36 6 GPD
(See note below, if applicable
oar (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /000 gallons Exact length of each trench 7S feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 14-1'8 inches
Maximum Trench Depth of: Rq-3a inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: cN ^0✓ a,,L Cc)^4- e- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 specilcations 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
Lonstructmn 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. Stt AI IAIHEV SITE SKETCH
1
Authorized State Agent: C f Date: /l 26y z
Construction Authorization Expiration Date: 7 /r, Z ` 7
HTE# 5-- X9 R-0" Permit # c2-? 1 ks7
Harnett County Department of iblic Health
Site sketch
PROPERTY LOCATON:_ e22 c~~r
ISSUED TO: _~ynti c :k4" SUBDIVISION ( `n Via, A, 4c- LOT # 1 aZ~
Authorized State Agent:
~r L✓ Cl
/2- c,`Z
1eq
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: 7/ C
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: / 0 PI Property
Individual ❑ Well
Evaluation Method: Auger mg ❑ Pit ❑ Cut
Type of Wastewater: (Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
LSD
-`fie
G o-
Nf~%
s .
,_IV ~
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification ( 1948): r
Available Space (.1945)
Evaluated Bye
System T e(s)
TJ
~S
Others Present:
Site LTAR