IPACHTE#/S'S - 31 2S? Harnett County Department of Public Health 28580
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION:5�! /a/3 1
ISSUED TO: SUBDIVISION A!9irl./.r. k;jjr� LOT #a/�_
NEW E� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z5"/a (TGD rZX-4r-a..,
Projected Daily Flow: 3i,� GPD
Number of bedrooms: �; Number of Occupants: max
Basement ❑Yesl9 No J/
Pump Required: ❑Yes ❑ No [ MMaav be required based on final location and elevations of facilities
Type of Water Supply: El Community fd Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
f21 Five years
❑ No expiration
Authorized State rat: �/i¢ad f�-a A Date: / U - 2S - t S — SEE ATTACHED SITE SKETCH
The issuance of this permit b e alth Department in no way guazantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocation a 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
squired for Building Pliitl
The construction and installation requirement of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into thin permit and shall be met. Systems shall be installed in accordance
with the attached system layouts � �r+
ISSUED TO ��n l � f >:JG PROPERTY LOCATION -7 /3i CCR n.2 ✓4R
SUBDIVISION 99W41-; sI rrE :5 LOT # l IU
Facility Type:�e� LTJ New �❑/�xpansion El Repair
Basement? ❑ Yes No Basement Fixtures? 1-1YesL 0
Type of Wastewater System** 154/6 (Initial) Wastewater now:_ GPD
(See note below, if applicable ❑) /
f���� s r, _(Repair)
Installation Requirements/Conditions Number of trench(
Septic Tank Size A j6 gallons Exact length of each trench 26 feet Trench Spacing: Feet on Center
Pump Tank Size /06 y gallons Trenches shall be installed on contour at a Soil Cover. inches
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: ZO -)/R inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
tee- inches below pipe
Z- inches above pipe
-12-- inches total
"If applicable: / understand the system type speciffed is different from the type specih'ed on the application. / accept the .rpecifcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to rerocxtion 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
s.onstioli 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 )tt AI IALHLU lilt SKIILH
Authorized StatQ_Pnt /y/1 Date: /Z) -ZT - i sem'
ci Construction Authorization Expiration Date: -Lq - Zia
HTE #
S —S'3 -7Z57 Permit# 2B5 -9b
Harnett County Department of Public Health
Site Sketch
/�
PROPERTY LOCATO
ISSUED T0: 6) rb a-j]A� Ck S 1')— SUBDIVISION
Authorized State
���j �"mry�
MW
LOT # 14 D
Date: /� —Z9 —/S
_ .Se dr4.5
1-0,72 rhos ^ \
co
I—
Jai' I t h.1
GWe'pa",J tJ�y
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: 10'24-13'
Proposed Facility:Design Flow (.1949)?L4!)
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ ,Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
P
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(in J
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
0-32
-&i
8- 3(.
6-
SGr v
L_
99 j2n
y
3C>
r1L &f r
47,'
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space( 1945) Evaluated By: � t
System Type(s)) Others Present:
Site LTAR