IPACHTE#./�3"73 95 Harnett County Department of Public Health 28598
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: LIS R'iK MS
ISSUED Coaa.�o f SUBDIVISION LOT # o
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: 15 —
Proposed Wastewater System Type: 17--'T—% Ory Oa+�
Projected Daily Flow: 3 Ce—o GPD
Number of bedrooms: 3 Number of Occupants: b max
Basement ❑Yes 210
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Oyes ❑ No ❑ May be required based on final location and elevations of facilities Er -
Type of Water Supply: El Community Public ❑ Well Distance from well het Permit valid for. L_f Five years
Permit conditions: ❑ No expiration
Authorized State 17 Date: //-Z3 -/5 - SEE ATTACHED SITE SKETCH
The issuance of this permi Health 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 provision of
the Laws and Rules for Sewage Treatment and nuposai and in conditions of this permit.
Construction Authorization
Recruited for Buildine Permit
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shill be installed in accordance
with the attached system layout.
ISSUED TO��^-1 }/d-),, � 31`'G PROPERTY LOCATIONS C14zf ed dTXZ;r15 V3
SUBDIVISION LOT #
Facility Type: PT- New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 1210
Type of Wastewater System'* Z-5% j20*3uLT-c rJ Zr 4,2, (Initial) Wastewater Flow: 34�O GPD
(See note below, if applicable ❑)
2,515an -OC-DIrz,,-Zry s5!�,s t-01,(Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size ,0 o gallons Exact length of each trench '70 feet Trench Spacing: q Feet on Center
Pump Tank Size le a o gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of Ito" 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: ft. TDH vs. GPM inches below pipe
�2 Aggregate Depth: inches above pipe
Conditions: / & l(&4J-rate 4-e� rk4w T ALJ i r/' -4-24A,&4 ot-s / L inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE TOFF. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
'"If applicable: / understand the r)rtem type .rpedled it different from the type .rpedped on the application. / accept the rpedlxadoor o/ 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 Construction Authorization shall not be transferred when there is 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 SEE ATTACHED SITE SKETCH
Authorized State �re� Date: //- 73 -1 -5-
Construction
Construction Authorization Expiration Date: t/- 73- zo
NTE# /'�— S-57'39?—
Permit # 28'598
Harnett County Department of Public Health
Site Sketch
�r / / PROPERTY LOEATON:e ytHg8 AFAI;,J Vii,
ISSUED TO: `yMkl'j' �Y�lr>, ��0 r�,L�/ / SUBDIVISION LOT #
Authorized State AgentQn+ G// (A+� �t .� X �� Date: 7,3 —/
(�oa�V�
Tell
6p jgq,q X77,nWZ ;?6
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: `�'Di'/'Y Date Evaluated: l rL<'//�
Proposed Facility: / Design Flow (.1949):.�e�
Location of Site: 7 Property Recorded:
Water Supply: PublicIndividual El Well
Evaluation Method: Auger B g El ❑ Cut
Type of Wastewater: rj Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
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
1, 2.
��xZ
o 13
JL
n
19 36
-
.,
.3 : z
a�
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): S
Available S ace (.1945) Evaluated By:
System Type(s) 7J'E ;Irtl Others Present:
Site LTAR