IPACHTE# 0 9- 5-- 22.'61 Harnett County Department of Public Health 2 5 41 4
(mDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: _74 .y 5~e1 '-J
ISSUED TO AIr-el SUBDIVISION _o~f, & 1LOT # 36
NEW ~~R PAhR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: .Ss>
Proposed Wastewater System Type: i
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: w max
Basement ❑Yes L~1 No
Pump Required: ❑Yes ❑ No Z;"p U re quired based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Age Date: G-ZZ -0 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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 he met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: l PROPERTY LOCATION:
SUBDIVISION Z?Lc / LOT # 30
3 Facility Type: Ld New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes LJ No
Type of Wastewater System' ~07JU2„1 (Initial) Wastewater flow: 360 GPD
(See note below, if applicable
Z
1046 ucp~ epair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size -1060_ gallons
Exact length of each trench ,LSD feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 27P>IR . inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: _ Feet on Center
Soil Cover.. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
1Z inches total
**If applicable: /understand the system type specified is different from the type specified on the application. / accept the rpecificationc of thin 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 ownershin 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 Dermit. SEE ATTACHED SITE SKETCH
Authorized State A nt: Date: G. - Z-7- -a
Construction Authorization Expiration Date: 2 Z / 4(
HTE# 09-5-- ZZ30 1 Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: L,/GI,f yy/AJ
ISSUED TO: SUBDIVISION j. LOT # -?6 "
Authorized State Agent. xe-~ Date: 4~ - ZZ - 01
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Division of Environmental Health Property ID:
On-site Wastewater Section Lot
File
SOILSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM[
Owner: G'7t-s u Applicant: $
Address: JJ Date Evaluated: 4' /fJ ~L iF~ -
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: ( 4-15ublic (j Individual [ J Well (j Spring [ J Other
Evaluation Method: [ ]Auyer Boring ['T Pit (j Cut
Type of Wastewater: (/Sewage (j Industrial Process (J Mixed
P
R
0
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Son/
Wetness/'
Color
.1943
SON
Depth IN.)
.1956
Sapra
Class
.1944
Restr
Horiz
Profile ,
Class
& LTAR
1
0-/y
.SL
,'lc. C /JSrJ(~
L ~
q- o
sc- cl
35
L ~d
b
Iz-yo
4c_-e_1
3tr--1
I
~
6 -19,
5L
V~
0-24D
5L
CIA-
6
o
L 17
Description
initial Syste
Repair tem
Available Space (.1945)
System Type(s)
LS~~o
ISite LTAR
- j's
3 5
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: