IPACHTE# -S--3i got- Harnett County Department of Public Health
hDrovement Permit 27565
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 54 ' 1 '7'7i3 ;dd I j, j
ISSUED T0: 54rAj4i SUBDIVISION LOT # —
NEW F,,K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -S17 i6
Proposed Wastewater System Type: '0/d R66U '7.3
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: L max
Basement ❑Yes ®'No /
Pump Required: ❑Yes ❑ No Cr7 May required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LJ" Public ❑ Well Distance from well feet Permit valid for: Lef Five years
Permit conditions: ❑ No expiration
Authorized State Ag Date: 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 holies in meeting their requirements. This
site is subject to revocation if t e 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: ZSL PROPERTY LOCATION: 3rf2 ti) 9, JitrAA to 4;. .
SUBDIVISION LOT # L
Facility Type: S� Iii New �❑�xpansion 171 Repair
Basement? El Yes No Basement Fixtures? El Yes [�I o
Type of Wastewater System ** ZSC1is 1'r)0 C ®n (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
25% 2tc V (Repair)
Installation Requirements /Conditions Number of tree es
Septic Tank Size % 00C.> gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: _�P inches
Maximum Trench Depth of: 21—) /8 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
Conditions:
6 inches below pipe
Aggregate Depth: Z inches above pipe
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.
/2- inches total
* *If applicable: / understand the system type speciped is different from the type specired on the application. / accept the specifications ofthis permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site o1an, olat. or the intended use changes. The Construction Authnrizatinn shall not he tmncfarrnd when than is n An— in nwn —hi n t th, ato Th;,
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 < Date: T ° '° 6.3
Construction Authorization Expiration Date: _ 2.-a— 19
HTE# 3JI10(. Permit # —,Q 9 S (0 s
H(arnett County Department of Mtblic Hp(alth
Site sketch
PROPERTY LOCATOC n j-7-7 MLCA&(c IZO
ISSUED TO: SUBDIVISION LOT#
A
Authorized State
Date:
ax 1-7--7 6 ftlxk0A- 20
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: iii Property Recorded:
Water Supply: Public❑ Individual Wel]
Evaluation Method: ETA, ger Bor'ng ❑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 %
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
Horizon
Depth
(In.)
,1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
,1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Z
L_ 2 -3
10-16
Lsn�
"
..
q2-
36
Description Initial Repair System Other Factors ( 1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Others Present: e— �
Site LTAR