IPAC RHTE# / S- 5— goo 3-7/zHarnett County Department of Public Health 28555
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONiY°l% /La C`U /Cly
ISSUED TO:Zipf 55 G%(/ r%bfy<� SUBDIVISION CA -,2,o,4— LOT #
NEW Y , REPAIR El EXPANSION ❑ Site h4roverneents required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Ty e:'1,7 dao R$
Projected Daily Flow: Li j GPD
Number of bedrooms: �c _ Number of Occupants: cb' max
Basement []Yes 01N
Pump Required: C3<es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply:
Permit conditions:
❑ Community IX Public ❑ Well Distance from well feet
Permit valid for:
C3,Fs a years
❑ No expiration
Authorized State ADate: SEE ATTACHED SITE SKETCH
The issuance of this permit the alth Department in no way gua ntees the issuance o other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revoatio ssia pian, 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, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 arc incorporated by references into this permit and shall be met. Systems shall be instilled in azrordma
with the attached system layout. "
ISSUED TO: /� d -SS yt� e-11 �7PROPERTY LOCATION:S+L/ e/'!
SUBDIVISION _ LOT # 2 -7
Facility Type: New ❑ Expansion ❑ Aepair
Basement? ❑ Yes No_ Basement Fixtures? ❑ Yes 91ro
Type of Wastewater System** M. s-- '/a f C.01�
(See note below, if applicable ❑
epair)
Installation
Requirements/Conditions��
Number of trenches
Septic Tank
Sizgallons
Exact length of each
trench �� feet
Pump Tank
Size x_7111 U gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 7i 8 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Wastewater Flow: `� v a GPD
Trench Spacing: / Feet on Center
Soil Cover. riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
p inches below pipe
Aggregate Depth: inches above pipe
' L 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 specified is different from the type specified on the application. / accept the sped/cations of thii 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 them is a change in ownership of the sire. This
Lonstmcthon Authorization is subject to mmpbance with the provisions of the Laws and Rules for Sewage treatment and Disposal and to the conditions of Nis permit HL nl InL"LU Silt MLlln
Authorized State nt: Date: 9'"25 -r f'Construction Authorization Expiration Date: 5 - 25 -zU
HTE# 'S-7 C>3 Permit #
Harnett County Department of Public Health
Site Sketeh
L I PROPERTY LOCATONAt/y1i% /24-s.,A 61d/5 /L,6
ISSUED TO: ��S5e6/ �T��N SUBDIVISION ".)ofC, fi' LOT # —Z7—
Authorized State
Date: �', Z -F — /J�
4t7 spf 'b.o
5£6n1
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 1+*t;r
Address:` 2,.t-% Date Evaluated: ')-25_,Z9•/�
Proposed Facility: ,F � Design Flow (.1949): y U
Location of Site: Property Recorded:
Water Supply: �ublic❑ Individual ❑ Well
Evaluation Method:[?'Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ -"wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Positim/
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
1,29
L- -4 *A
6-i
Lou-&-
2a-�Iti
sc-eo
I
78
,
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948): `
Available Space( 1945) Evaluated By: �
System Type(s)) Others Present:
Site LTAR