IPACHTE# r 4'-'� 3 31 b3 Harnett County Department of Public Health 27864
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:f'3 -114 41i kJ'*J)431 ✓ 7
ISSUED TO:, DiA&wA LW SUBDIVISION LOT
NEW Z'f REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: :5 VJ li 114
Proposed Wastewater System Type: Zoo f Ni
Projected Daily Flow: 3 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes ® No
Pump Required: ❑Yes ❑ No L1�Mai -be required based on final location and elevations of facilities �,/
Type of Water Supply: ❑ Community L!f Public ❑ Well Distance from well �� ` `'� feet Permit valid for: Lam( Five years
Permit conditions: 655 '04" ❑ No expiration
Authorized State Ag k: I Date: W G7"i�j SEE ATTACHED SITE SKETCH
The issuance of this permit by t alth 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 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 T0: PROPERTY LOCATION: 14Q 0 S% )
SUBDIVISION LOT #
Facility Type: Z Nes
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
Type of Wastewater System ** ���`i%
(See note below, if applicable ❑)
z yon Zc�3
Installation Requirements /Conditions Number of trf
Septic Tank Size ' gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
V ❑lExpansion ❑ Repair
No
(Initial) Wastewater Flow: GPD
to 5 (Repair)
ches
Exact length of each trench 160 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: to �>16 nches
(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)
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.
4 inches below pipe
2. inches above pipe
inches total
* *If applicable: / understand the system type specified is different from the type specified on the app lication. / accept the specilcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Dian. plat 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
r
Authorized State Ag Date: '2
Construction Authorization Expiration Date: U� =/
HTE# -33q63 Permit #
Harnett County DepaiAment of P�iblic Health
Site Sketch
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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: 2L-2 y
Proposed Facility: Design Flow (.1949): ,3lv
Location of Site: Property Recorded:
Water Supply: [r Public❑ Individual ❑ Well
Evaluation Method: [Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: [f 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 %
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
s
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0
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available S ace (.1945)
System Type(s)
Site LTAR
s