IPACHTE# Harnett County Department of Public Health 28443
Improvement Permit
A building permit cannot be issued with only an I rovement Permit
PROPERTY LOCATION: ;1c C11K A.
ISSUED TO- J o.� i me . /VI pr :. SUBDIVISION LOT At
NEW Edd REPAIR ❑ , EXPANSION ❑
Type of Structure: fW dt til. 7 b K V 11
Proposed Wastewater System Type: a75-7.v<i+on ry Tfi�
Projected Daily Flow: J(.0 GPD
Number of bedrooms: 3 Number of Occupants: Is, max
Basement []Yes —AN
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No Ise MM be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ?Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
t'J Five years
❑ No expiration
Authorized State Agenta�_/ �,ywo _dot aY/ Date: /o &942otf- SEE ATFACHED SITE SKETCH
The issuance of this permit by the Health partment in no way guaramees 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.
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 s}rtem type speciled is different /tom the type speciled on the application. l accept the spealcatienr 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 Constucdon Authorization shall not be transferred when there is a change in ownership of the site. This
tumtmcton Authonzanon is subject to comph ith the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI IALMtU lilt )RLILH
Authorized State Agent r1fr Date: d 1.2 c (f—
Construction Authorization Expiration Date: 0 2y Zoz°
Construction Authorization
(Required for Building Permit)
The construction and installation requirements
of Rules .1958, .1951, .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: �k s Ir- C.or.
n
i)or<.n PROPERTY LOCATION: P -ac dt'k SN.
it
SUBDIVISION
LOT #
Facility Type: S-v.J M
2(New ❑ Expansion ❑ Repair
Basement? ❑ Yes 9- No
Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
as- 7. kCJ"'l-:o ejs(Ce
(Initial) Wastewater Flow: 3 6 O GPD
(See note below, if applicable ❑)
off% aee�oc..�`.��. S/'s%.� (Repair)
Installation Requirements/Conditions Number of trenches .1?
Septic Tank Size IMO
gallons Exact length of each trench 8 SJ feet
Trench Spacing: % Feet on Center
Pump Tank Size
gallons Trenches shall be installed on contour at a
Soil Cover. (o inches
Maximum Trench Depth of. la2-16 inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/•1/4"
36' above the trench bottom)
in all directions)
Pump Requirements:
fL TOM vs. GPM
inches below pipe
p
kQn L-&rr
1
Aggregate Depth: inches above pipe
Conditions:
0A Con Ta'J"
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 s}rtem type speciled is different /tom the type speciled on the application. l accept the spealcatienr 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 Constucdon Authorization shall not be transferred when there is a change in ownership of the site. This
tumtmcton Authonzanon is subject to comph ith the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI IALMtU lilt )RLILH
Authorized State Agent r1fr Date: d 1.2 c (f—
Construction Authorization Expiration Date: 0 2y Zoz°
HTE# 6813 Permit # oZS Y q-7
Harnett County Department of Public Health
Site Sketch
I M / PROPERTY LOCATON: P 1� V s�L J4.
ISSUED TO: Jo.� h°� • / / o -r—1 - . SUBDIVISION / LOT #
Authorized State Agent` ; tf Date: /C! 2 9 /` it-
3/4,
f
[-
7q f
I�I� 9f -A{- ib Ic<.ia
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: Public[] Individual ❑ Well
Evaluation Method: B -Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: H 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
Resn
Hotiz
L yCd
0-26
G- Ar
T
S d If
Ar �✓�
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948):/J
Available Space(. 1945) Evaluated By: f—
SystemType(s) LJ' Others Present:
Site LTAR — . J