IPACHTE# I '6 --_3U 8s- Harnett County Department of Public Health 28064
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: !n 1 % Z7 5wJ G 6 S /C-.D
ISSUED TO: ,C -rn r4 SUBDIVISION P'"5 LOT #
NEW REPAIR ❑ IfXPANSION ❑ Site Improvements required prior (A Construction Authorization Issuance:
Type of Structure: T), j —i-4-
Proposed Wastewater System Ty e: 2'��s i'al1�-0-t,.�Z.t� --
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No ��
Pump Required: ❑Yes El No L�J"May be required b y *on final location and elevations of facilities ���
Type of Water Supply: 11 Community Z Public 2' Well Distance from well � feet Permit valid for: FiL� ve years
Permit conditions: ❑ No expiration
Authorized State A nt: ate: i'5 ',c;L ®1 `f SEE ATTACHED SITE SKETCH
The issuance of this per 6y th ealth epartment 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 th "Van, 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permio
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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: G��Ms z� c. -7;�4 r_1�4 PROPERTY LOCATIONffX l7Z 7 JAG S IC4
V SUBDIVISION t. 4 1 r 5 ±!�'=., LOT # 16—
Facility Type: b Z New �❑l xpansion El Repair
Basement? 1:1 Yes No Basement Fixtures? El Yes Ao
Type of Wastewater System ** 25-% 77,,-:;-6U (..-i U'3 Fr�j S i—A67 — (Initial) Wastewater Flow: ® GPD
(See note below, if applicable ❑) l
�l /?d�r✓UC t' 5� -= (Repair)
Installation Requirements /Conditions Number of trenche _ _
Septic Tank Size 12 bo gallons Exact length of each trench /ip h feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: tP inches
(Trench bottoms shall be level to +/ -I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: / Feet on Center
Soil Cover: �nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
"2— inches total
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.
* *If applicable: /understand the system type specifled is different from the type specified on the app /ication. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site plan. plat or the intended use chanties. 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 t: Date: Q — Z 2 —f `i
Construction Authorization Expiration Date: 9 -22 -1
HTE# I`I _S -3g38s" Permit # X2 00611
Harnett County ]Department artment of Public Health
Site Sketch
PROPERTY LOCATON _M /7 7-7 k. b
ISSUED TO: ZA tft, --IA -r—o SUBDIVISION ! .Z,,&rY 5 X;,-3 LOT #
Authorized State Age � � Date:
�'- z z -?"t0
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r�-'WA- Tb L"-1 LA-
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: 7*%j �
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): r�,eo-
Location of Site: Property Recorded: ,a �,.
Water Supply: Public❑ Individual /� Well
Evaluation Method: [2 uger, Boo ing ❑Pit _ �❑ Cut
Type of Wastewater: —J 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
V SIP
�
�7 �
��rt
Gam.-
A4J
n~
L
A
`!
v�
L
C, ��
-1 L
C i
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:!
Others Present: .�
Available Space(. 1945)
System Type(s)
4 S
Site LTAR