IPACHTE# Is—:s,--3 1-2 q Harnett County Department of Public Health 28566
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
��� ��1 n PROPERTY LOCATION -11
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ISSUED _ O(A+—� �C SUBDIVISION LOT # j q -/t
NEW 5�' REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z*�'a%+ RJ&4`�
Projected Daily Flow: "5 b 70 GPD
Number of bedrooms: 3 Numbe of Occupants: max
Basement ❑Yes QT
Pump Required: ❑Yes ❑ No Maxe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State A L Date: /U —y 5 _ / S SEE ATTACHED SITE SKETCH
The issuance of this permit bthe eairh 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 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 object to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and in conditions of this permit..
Construction Authorization
(Required for Building Permit)
The Constmction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shill be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: 5 PROPERTY LOCATION: ZV-J`/ 3 7 1344L_,Q r71�
—/ SUBDIVISION �?7—�, �LOT # /�
Facility Type: S� 21 New ❑/Expansion 11 Repair
Basement? El Yes No Basement Fixtures? El Yes No
Type of Wastewater System** IZbb LTT4`.. SysF-f, (Initial) Wastewater Flow: 3l6C--3 GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches q_
Septic Tank Size 1,060 gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z— inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: fL TDH vs. GPM
Conditions:
Trench Spacing: ( Feet on Center
Soil Cover. Zinches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Y inches below pipe
Aggregate Depth: 2 inches above pipe
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.
7L inches total
**If applicable: / understand the system type specifted it different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is submit to remotion if the site plan. plat er the intended use h..._ The Cenemuctien Authorintimt shall not he tnnsfemed when there is a chance in ownenhin of the site. This
Construction Authorization is object to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. aft AI IALIItD Mit MILK
Authorized State Date: 10 ` �� 5
Construction At horization Expiration Date: / 6 S
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Permit # Z 95-'/cC
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(AT(
ISSUED TO: ST IA) GTi/ /c{iTilGffLco Tit L' SUBDIVISION
LOT #
Authorized State ent �l �`�J(� Date:
61xF6k4) sl i2r DrZL(J%
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:3'j� D-lL-r-c—
Address: Date Evaluated:
Proposed Facility: .3.p> Design Flow(. 1949): 3&Z
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:[] Auger Bo g Pit F1 cut
Type of Wastewater: LT Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
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
I
L
avd'A
Nnov
sc-c
A.-
18E�-s.P
?..'
yo ,rrZ�
3
b-
tic- db
Description Initial Repair System Other Factors (.1946):
System Site Classification):
Available Space(. 1945) Evaluatedted By:
System Type(s)) Others Present:
Site LTAR