IPACHTE #r�_ �� Harnett County Department of Public Health
Imarovement Permit 27554
A building permit cannot be issued with only an Improvement Permit
J PROPERTY LOCATIONT'S il/ P ae2o '
ISSUED T0: ��"l ir°.r 4 % - ! SUBDIVISION LOT # _
NEW Z'- REPAIR ❑ EXPANSION 10 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 F l
Proposed Wastewater System Type:��
Projected Daily Flow: i ?,,o GPD
Number of bedrooms: `I Number of Occupants: max
Basement ❑Yes 5'-
Pump Required: ❑Yes ❑ No 0IM"ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 2 'PPublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for
2r five years
❑ No expiration
Authorized State Agenr -'.- °°'7 I�9�+LSf'` Date: 9 - %b —i :3 SEE ATTACHED SITE SKETCH
The issuance of this permit by Its ,{e 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 be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: ' / PROPERTY LOCATION: APO Y/ 9
SUBDIVISION LOT # B
Facility Type: S ad ET' New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes C"'No
Type of Wastewater System ** 75� t f t ,_i (Initial) Wastewater Flow: Yc9 GPD
(See note below, if applicable ❑)
2a% 1ZC—hU ,---3 s (Repair)
Installation Requirements /Conditions Number of tree chi c/
Septic Tank Size 1200 gallons Exact length of each trench /00 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2 V 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: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z- inches above pipe
f 2 inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 specified is different from the type speciled on the application. / accept the speci>rcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Dlan, slat or the intended use changes. 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 SEE ATTACHED SITE SKETCH
Authorized State A a Date:
Construction Authorization Expiration Date: —f-
HTE# P�-57-3-KaHO
Permit # 1'S 5 q
Harnett County I)eptal-fill ellt of -11,11blic Health
Site Sketch
PROPERTY LOCATON:,5fi jq18 RZ
ISSUED TO: 3 Bqm" SUBDIVISION C,?eS+ LOT #
Z aws
Authorized State Agenc:�_.,�� 2 mzxvj� Date:
0
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: 5F+7 Design Flow(. 1949): Ibb
Location of Site: Owe C Property Recorded:
Water Supply: Opublic❑ Individual ❑ Well
Evaluation Method: E Auger,Boring ❑ Pit ❑ Cut
Type of Wastewater: 121 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
ti
6 —tq
:5C
_A a s�f
SL
IL
Z�
70— `dZ.
Y e
are `7
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
Z1,9A
E514
Site LTAR
= 3
ti