IPACHTE# 5- --y,'Z3i Harnett County Department of Public Health 2 A 3 9 A
3G211j Improvement Permit
A building permit cannot be issued with only an Improvement Peut
PROPERTY LOCATION: -6-Q]1q KZ
ISSUED TO: / r Z SUBDIVISION LOT #
NEW REPAIR ❑ fXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M_fQ d -d-
Proposed Wastewater System Type: 2-� V6t71s (JZ y
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: (11=1 max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No 2 -May be required based on final location and elevations of facilities
Type of Water Supply: EJ Community ❑ Public Zr Well Distance from well %d o feet Permit valid for: [2- ive years
Permit conditions: ______ _______—__— EI -No -expiration
Authorized State :f— % /�-rp� /Yi � Date: (,®- / U -15— SEE ATTACHED SITE SKETCH
The issuance of this permit Health 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, .195S, .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: w 'Lr PROPERTY LOCATION: l -7/41. ,J
� SUBDIVISION LOT #
Facility Type: �-Cr � rid -0 New �❑l xpansion El Repair
Basement? El Yes No Basement Fixtures? El Yes l d'No
Type of Wastewater System** ZSn 2Z-7-_ U[ (Initial) Wastewater Flow: 5 (e GPD
(See note below, if applicable ❑)
--(Repair)
Installation Rea uirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench e) feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: L Z- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: g Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
A 2,62g=5 . f — V IF
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
Z- inches above pipe
/Z inches total
**If applicable: /understand the system type speciTed is different from the type specified on the application. / accept the specilcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, 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
[Authorized State Date:��� `0
Construction Authorization Expiration Date: d� --/U —.46
HTE# /�-S-- ---,r,2 --5-) Permit # Z Q's � 9 1/
lil-Aett County Department of Public Health
Site Sketch
PROPERTY LOCATON:25�-p/0,nv4j IeA
ISSUED TO: 4 SUBDIVISION LOT
Authorized State Ag6• /—,v7J Date:
F—
M
la
6L BA I-zf r/�
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:Err- �-
Address: P-111-5Date Evaluated:
Proposed Facility: r�-/J Design Flow (.1949): � Prope Size:
Location of Site:Property Recorded:
Water Supply: Public❑ Individual [-'ell ` ❑ Spring
Evaluation Method: [3 Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: El -Sewage ❑ Industrial Process ❑ 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
DSpth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
1 Z- �v
x C
I cS•e�
S 3
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): (�
Available Space (.1945) Evaluated By: 4�
System Type(s) Others Present:
Site LTAR