IPACHTE# /4;7�:: —3( (�� 5 Harnett County Department of Public Health 28558
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:-!-Z71S--k
ISSUED T0: SUBDIVISION 4&1:40J a r�/�y wl��r LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5�7
Proposed Wastewater System Type: ZS'0/a Q �Uc-SrZI'L�
Projected Daily Flow: S (afJ GPD
Number of bedrooms: Number of Occupants: ax
Basement ❑Yes o
Pump Required: 13fes ❑ No d May required based on final location and elevations of facilities
Type of Water Supply: ❑ Community fs Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Ag Date: 10 - -% —/ 5'— SEE ATTACHED SITE SKETCH
The issuance of this permit b lealth 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
(wired for Building Perri
The construction and installation requirements of Rules .1950, .19S7, .1954, .195S, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and tha11 be met. Systems shall be installed in accordance
with the attached system layout,
ISSUED TO: �'U Aw 1CKa/ Y � PROPERTY LOCATION: 3e ZZ(,5-
��. QGLiJ
� SUBDIVISION /3ifww+J er- _AtteA44 � LOT # -Z—
Facility
Facility Type: C�New ❑ Expansion ❑ Repair
Basement? ❑ Yes NoBasement Fixtures? 11Yes 210Type of Wastewater System" waa n 4,0 2�, J1Z&ft(17L9J (Initial) Wastewater Flow: 3&0 GPD
(See note below, if applicable ❑)
n {v Zs'`Lv GZS�uzdZe!`(Aepair)
Installation Requirements/Conditions ` Number of trenches ay
Septic Tank Size /,00 O gallons Exact length of each trench /oD feet Trench Spacing. ( Feet an (enter
Pump Tank Size .'/061 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of.. ZO wz inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TUN vs. GPM
Conditions:
Soil Cover. j, . 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.
li inches below pipe
2 inches above pipe
inches total
**If applicable: / understand the system type specified it different [mm the type specified on the application, / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if she site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there o 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 tett AI IAI.MLD Nit )Rt ILH
Authorized State nt: Date: /D--7 —f S—
Construction Authorization Expiration Date: /D - 7 —Zd
NTE# 7.5 -Permit # 28 ss`ri
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:4?ZZ2/�
ISSUED TO:C U��- TSG SUBDIVISION G2sIfteV. LOT # Z
Authorized State
ry
ry
Date: /D - 7 — t
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:
Proposed Facility: Design Flow(. 1949):
Location of Site:,� Property Recorded:
Water Supply: G rublic❑ Individual ❑ Well
Evaluation Method:❑ ager Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑,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 J
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Mincialogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth W.
.1956
Sapro
Class
.1944
Restr
Horiz
6—r
JL-cl
— i
5--s(.�
es -mal'
36ry
�L
SSv-).P'
YL-YY44s
2.3
L"
d-34?
5
eA,6
Yce
S(I—
Description Initial Repair System Other Factors (.1946):
Sys Site Classification):
Available Space( 1945) Evaluatedted By:
S stem Type(s)) > Others Present:
Site LTAR - 'A