IPACHTE# /Z -z Harnett County Department of Public Health
hDrovement Permit 2 7 0 3 3
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 154 Z 6- r'ab
ISSUED TO- 2- olfll SUBDIVISION CJr3~ l' LOT # 7
NEW 12 REPAIR E /EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Ty e: ;U%
Projected Daily Flow: c`? GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: es ❑ No ❑ MMayk required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E? Public ❑ Well Distance from well feet Permit valid for: O'Five years
Permit conditions: ❑ No expiration
a ~
Authorized State Ag e Date: S -Z8-- 1 `2 SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 Authorizati
Reouired 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 TO: -*0C - PROPERTY LOCATION: ' j20
SUBDIVISION LOT #
Facility Type: 13 New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Imo' No
Type of Wastewater System** ~ ZZ;-0/0 f 61_~ -r (Initial) Wastewater Flow: _31(c> ~ GPD
(See note below, if applicable
~9 0 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size '106 6 gallons Exact length of each trench ZZ>® feet Trench Spacing: t'~' Feet on Center
Pump Tank Size /0,00 gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: Vic' .7) a 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
111 Aggregate Depth: inches above pipe
Conditions: t f 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 speciped is different from the type speciped on the application. / accept the specircations of this permit.
Owner/Legal Representative Signature: Date:
this Lonstruction Authorization is subject to revocation it the site plan, plat, or the intended use changes. the Lonstruction Authorization shall not be transferred when there is a change m 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. SEE ATTACHED SITE SKETCH
Authorized State A 25:~~ 2 - Date: Q,-2 -f Z.
Construction Authorization Expiration Date: b-7-i-0
?
HTE# !Z°~`a'-' ~5"~c2 Permit # 270 3
Harnett Connty Department of Public Healtli
Site Sketch
j PROPERTY LOCATON:
ISSUED TO: y! SUBDIVISION LOT #
Authorized State Age Date: 2-
~ ,
t,5 0 [o
ice"
a4 011~
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: 2
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): 76t) Property Size:
Location of Site: Property Recorded:
Water Supply: a Public❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: ❑-lQger ring ❑ Pit ❑ Cut
Type of Wastewater: `LSewage ❑ Industrial Process ❑ 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
t~ Yy
3
G -'V5
56
rt rs~ P
P
36 'T
lI'$~
b r
L -v
-
Gam.-
V''7z
t2-YD
Sc C6
(J ^ 7
C
d (lJ ~
Description
Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (.1948):
Available Space(. 1945)
Evaluated By
System T e(s)
Others Present:
Site LTAR
c 3