IPACHTE# /Z -�S-- ?c Harnett County Department of Public Health
Improvement Permit 27235
A building permit cannot be issued with only an Improvement Permit
e� PROPERTY LOCATION: 3 /'fN2 i`Z 5 r I JA 6
ISSUED TO: �i-` c i f Ze �, SUBDIVISION i �, LOT # f
NEW 9 REPAIR ❑ EXPANSION ❑ Site lhprovements required prior to Construction Authorization Issuance:
Type of Structure: 5 �r
Proposed Wastewater System � Type:
Projected Daily Flow: -:i ry to O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes [?['No r
Pump Required: ❑Yes ❑ No eMa . be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for Z Five years
Permit conditions: ❑ No expiration
Authorized State Agen . , �' /lr°(. .� - " Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by a Ith 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 a 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 TO: 3. C'`�.�i` 1e' a. PROPERTY LOCATION: < /tH 7 % ?razes 6,,A A
�e SUBDIVISION ! ' ?v^f° LOT # — —
Facility Type: n I?r New ❑ Expansion Repair
Basement? ❑ Yes 2" No Basement Fixtures? ❑ Yes G3No
Type of Wastewater System ** 7-)'�0 C tZ' z 0 CC (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
«10 41- 2 15� ii,Q (Repair)
Installation Requirements /ConditionsV Number of trenches Z
Septic Tank Size �s is v 6 gallons Exact length of each trench 12,(7) feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. Z W � 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 4' inches below pipe
Aggregate Depth: inches above pipe
Conditions: IL. 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 fpecifed is di /ferent from the type specified ofl the app /icatiom / accept the specipcatiws 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 ownershio 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 Agen Date:
Construction Authorization Expiration Date:
HTE# IZ- .3o33 �
Permit # c� '7A 3'5—
Harnett County Department of Miblic Heldth
Site Sketch
PROPERTY LOCATON: 'ZAJ s
ISSUED TO: D,� 3 SUBDIVISION
M4;)Ab lc--t - 6 le -.5+ LOT #
Authorized State Agentk Date:
61,
I
w
a
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:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method: ❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
c
ef
L
Ctv B
5C --c'
3 ti 1t7
3
L
Z
lY,
t �
Description
Initial
S stem
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System T e(s)
S-- -
Site LTAR
c