IPACHTE# = k9 2-qq Harnett County Department of Public Health
Imurovement Permit 2 71 0 9
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIO : c le l-
ISSUED TO. C r- c~ / t" e'1 e1 SUBDIVISION nkt '.cam a LOT # ~
NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Cf i~) Y ~o
Proposed Wastewater System Type: rSr/., ~ecQ : ws~ca-
Projected Daily Flow: c3 6 0 GPD
Number of bedrooms: - Number of Occupants: max
Basement ❑Yes C>~N~0
Pump Required: ❑Yes L No ❑~Mayy e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L Public ❑ Well Distance from well feet Permit valid for: 0 Ftve years
Permit conditions: ❑ No expiration
Authorized State Agent: & ~1_.wr~-- "fff Date: : /T / J- ( 2 Z SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth Department in no 'way arantees 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..
nstruction 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:
SUBDIVISION LOT #
Facility Type: f J . ER New ❑ Expansion ❑ Repair
Basement? ❑ Yes E;~ No Basement F' tures? ❑ Yes ❑ No
Type of Wastewater System** s'w (Initial) Wastewater Flow: 3 G GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size / Oo Q gallons Exact length of each trench t--'13 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: a inches
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: /L inches
(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 ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use chances. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction 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 Al IACHtU SIII: JKt[LH
Authorized State Agen . . leC'! Date: 2-- _
Construction Authorization Expiration Date: 7? 4 2 ~o 1-7
HTE# .4a - S ~9 oZ `Iq Permit # 0Z
Harnett Conty )epailine t of l~iibfic Health
Site sketell
PROPERTY LOCATON: a,r K
11 ISSUED T0: cv.~~O~ dSUBDIVISION LOT #
Authorized State Agi
, j,
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 A /Z-/L-
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: public[] Individual ❑ Well
Evaluation Method: ❑ Auger B ng El Pit F-1 Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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
Z z 7
U C
~Y S
r ~
V ~vl/fiJl7
°Z- ~`S
Cf
A1A
33
c3r)4J"_
~s-
-ale
it rcI
Ar-j7rq
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948): PJ'
Available Space (.1945)
Evaluated By:
System T e(s)
1" >
Others Present:
Site LTAR