IPACHTE# ��: -30 o Harnett County Department of lic Health
Improvement Per it
A building permit cannot be issued with only an Improvement Permit
(�" PROPERTY LOCATION: 00 c,4p
ISSUED T0: i-� -- v�'SSC�UG:� N SUBDIVISION C%P`4-�a0-) LOT # 3�
NEW'44 REPAIR ❑ _ €� NSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: a-'`C}
Proposed Wastewater System Type. "Z -S °%Q R6oyClCsO N S %STf t�1
Projected Daily Flow: L- % GPD
Number of bedrooms: LA Number of Occupants: g max
Basement ❑Yes No
Pump Required: ❑Yes 'K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community `5W Public ❑ Well Distance from well t 60 feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: QE-1i5 Date: i-�1`111a SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way go tzQ eZ the issuance of other permits. The permi holder is responsible for checking with appropriate governing bodies in meeting
their requirements. This site is subject to revocation if the site plan, plat, oo e 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.
t 1 t 1; 1
Required for Building Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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: �► Costs �cuV GS, o Py PROPERTY LOCATION: ®ocs
SUBDIVISION ®P 0� LOT # 30
Facility Type: �� ��`yQ� New ❑ Expansion ❑ Repair
Basement? ❑ Yes lk No Basement Fixtures? L� Yes No
Type of Wastewater System * * - `LS`�o ��Av Cr•, t tl s.l (initial) Initial ) Wastewater Flow: GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions
Septic Tank Size 1 QCD gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 3X�O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. ,�" �.''� inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: l understand the system type specified is dih`erent from the type specified on the application. l accept the specilcations of this permit.
Owner /Legal Representative Signature:
This Construction Authorization is subject toy
of the site. This Construction'b a ization is
Authorized State Agent:
Date:
sitee plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership
iwith the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
SEE ATTACHED SITE SKETCH
Authorization
Date: 13
Expiration Date: 1 "7
HTE# Permit # 'Z�3\)
ISSUED TO: !-1
Authorized State Agent:
Harnett County Department of Public Health
1 9, - ,
\1d•
I
I
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: /k)J a Zeta
Proposed Facility: 'A %C-tOW4 f-1 Design Flow (.1949): x%10
Location of Site: Property Recorded:
Water Supply: dublic❑ Individual ❑ Well
Evaluation Method:[Auger Bo ing El Pit ❑ Cut
Type of Wastewater: [Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
.1942
Soil qD:
Wetness/
Color
43
il
(IN.)
.1956
Sapro
Cla ss
.1944
Restr
Horiz
�Mineralogy
q2,
/?c 'k-
o'
�
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: o
Others Present:
Available Space (.1945)
System Type(s)
a "-K>
Site LTAR
5�