IPACHTE# --S —3-12.32 Harnett County Department of Public Health
28594
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
!� q PROPERTYLOEATION: 'tU xi)
ISSUED Z TO %I NCI .� U.L td e., S T-JL SUBDIVISION LOT # S1<.
NEWEd REPAIR ❑ EXPANSION ❑ Site Improvement/required prior to Construction Authorization Issuance:
Type of Structure: �5r-cli
Proposed Wastewater System Type: Z5%'&bUtrz.n.]
Projected Daily Flow: 3 t --o GPD
Number of bedrooms: 3 Number of Occupants: _ max
Basement ❑Yes Er'No
Pump Required: ❑Yes ❑ No Q Mat be required based on final location and elevations of facilities
Type of Water Supply:
Permit conditions:
❑ Community IZ Public ❑ Well Distance from well feet
Permit valid for:
f1Five years
❑ No expiration
Authorized State nt:: Date: OLI— LY—/5 SEE ATTACHED SITE SKETCH
The issuance of this permit by with 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 Treasurers and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in amordaace
with the attached system layout
ISSUEDTQS774iJC-t-11 =JC- PROPERTY LOCATION:<'SC-14y31m4o�
SUBDIVISION CAkA- ,. _ Wcr x k_ LOT # SL
Facility Type:S%t� Z� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes [AND
Type of Wastewater System" ZS`V6 12.40 u cXZetJ Zys 1-� v�-- (Initial) Wastewater flow: GPD
(See note below, if applicable ❑)
Z6"`1/ tIZ,&>u &'i✓La>L s hZ (Repair)
Installation Requirements/Conditions Number of trench s I
Septic Tank Size 1GvZD gallons Exact length of each trench Loo feet
Pump Tank Size /moa gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: /b -',2V" inches
(Trench bottoms shall be level to +/-I/4"
in all directions)
Pump Requirements: (t. TDM vs. GPM
Conditions:
Trench Spacing: / Feet on Center
Soil Cover: �_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
S— inches below pipe
2- inches above pipe
1,4, inches total
**If applicable: / understand the synem type specified is different from the type specified on the app/icanon. / accept the specibcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoufion it 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 or the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ILL AI IACHLU Silt IKLICH
Authorized Sta ent: Date:
Construction Authorization Expiration Date:
HTE#/s —S — 3'72 3 Z.
Harnett County
Permit # 7SS9q
Department of Public Health
Site Sketch
/ /� PROPERTY LISION
ISSUED T0: _��illGL �js Pw5 LAG SUBDIVISION
Authorized State
Date: // "Zy- /
M
C/o{Kes bu z. y it k bei
LOT #
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: /1' 77
Proposed Facility: Design Flow(. 1949): 919-D
Location of Site: Property Recorded:
Water Supply: 0 Public❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: [j"Srewage ❑ 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
o" Ifl
.SL
i'll.6x•Aw0
tw
2
mss
Z
o • 40
Sl,
,Ccc_6�urNf1
r J
3
1
L
L-6
a Kl�
sL
�w.Ea,c,tr�
yu'4
Pt.
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): l)5
Available Space (.1945) Evaluated By-
System
y:S stem T e(s)ZS'% e't Others Present: ✓ f—+
Site LTAR , i"� 2b •b
S