IPACHTE# ' - 3284,7 Harnett County Department of Public Health 27731
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: std
ISSUEDTlOJ SUBDIVISION �%� b LOT # Z-
,_
NEW k�f R AIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 52k% 9 44
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement E--]Yes o /
Pump Required: ❑Yes ❑ No YMa&be'required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: the years
Permit conditions: ❑ No expiration
Authorized State t:: "' Date: ° —1 SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in na 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 iv 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: PROPERTY LOCATION:
2e-'New SUBDIVISION FMS LOT #
Facility Type: O'Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 21"No
Type of Wastewater System ** ,? r% � L> CrZ414 �� (Initial) Wastewater Flow: 3&0 GPD
(See note below, if applicable ❑)
i t -airy ?� 9 , (Repair)
Installation Requirements /Conditions Number of trench
Septic Tank Size gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z6 —)/8 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)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
* *If applicable: /understand the system type specifed is different from the type specified on the application. /accept the fpecifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site elan. DIaL 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 nt: Date:
Construction Authorization Expiration Date:
HTE# :F000-7 Permit # 077 5 /
Harnett County Department of 13-ablic Health
Site Sketch
PROPERTY LOCATON: X2r:!Kl&lF
ISSUED TO: SUBDIVISION LOT #
Authorized State Age Date:
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIL /SITE EVALUATION Code:
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:{s'�v�i
Address: Date Evaluated: ,,A'Z`77y
Proposed Facility: -iy"l2*-10 Design Flow (.1949): y!b Property Size:
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual Well ❑ Spring ❑ Other
Evaluation Method: Auger Borin g.- Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process ❑ Mixed
P
Initial
System
Repair Sys m
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present
Available Space (.1945)
R
System T e(s)
Site LTAR
O
F
SOIL MORPHOLOGY
OTHER
I
.1940
.1941
PROFILE FACTORS
.1942
L
Landscape
Horizon
E
Position/
Depth
.1941
.1941
Soil
.1943
.1956
.1944
Profile
#
Slope %
(In.)
Structure/
Consistence
Wetness/
Soil
Sapro
Restr
Class
Texture
Mineralogy
Color
Depth (IN.)
Class
Horiz
& LTAR
j t W4
A? 110
.l
29-Y9
3 -P,
. '-, —I t.. -X 1 ir-I's
tmi
Description
Initial
System
Repair Sys m
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present
Available Space (.1945)
System T e(s)
Site LTAR