IPACHTE# /S 'S --3%N Z Harnett County Department of Public Health 28654
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:[ /8// aUA /+*-aAz^r+JS /ZA
ISSUED TO: _ e/35 = SUBDIVISION LOT # I
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: InOti+_ B / f)
Proposed Wastewater System Type: Z59�s ir%r�U
Projected Daily Flow: tswtr /S7GPD
Number of bedrooms: � Number of Occupants: ��na�x S
Basement ❑Yes L�f No �
Pump Required: ❑Yes ❑ No Ca' Maybe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ED Public ❑ Well Distance from well Net Permit valid for. Z Five years
Permit conditions: ❑ No expiration
Authorized State A _ .}s, G/�( d / Date: /2— 3 -7S' SEE ATTACHED SITE SKETCH
The issuance of this permit by Ip ga th Departsmist 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 it lI e�sire plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the sire. This permit is subject to compliance with the provisiom of
the bws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordann
with the attached system layout
ISSUED TO: e/3 5. PROPERTY LOCATION: --f/S// 3UA 1�aa.Sk .J S
SUBDIVISION LOT # t
Facility Type: 13 2"'New ❑ Expansion ❑ Repair
Basement? ❑ Yes 3 No Basement Fixtures? ❑ Yes EANo /Sp
Type of Wastewater System** X53& (Initial) Wastewater Flow: 7-216,-, GPD
(See note below, if applicable ❑)
ht. --(Repair)
Installation Requirements/Conditions Number of tr ches 2
Septic Tank Size 1006 gallons Exact length of each trench loo feet
Pump Tank Size /D66 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 17— 'h"""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: G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: Z inches above pipe
/7— inches total
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.
**If applicable: / understand the system type specified is difeient from the type specillcd on the application. / accept the specifcatiom of this permit
Owner/Legal Representative Signature: Date:
This commodes Authorization is subject to revocation if the site plan plat or the intended use changes, The construction Authormation shall not be transferred when there is a change in ownership of the site. This
tonstrumon Authorization is sublect to compliance with the provisions of the laws and Rules for Sewage Treatment and 11 osal and to the conditions of this permit. )LL AI IALHtU AIL MLILH
Authorized State A Date: /Z — 3 /
Construction 4Auor�ization Expiration Date: /2 — 5 Zd
HTE# S 5 - % Permit # Z�, 5 q
Harnett County llepaYtment of 1'nblic Health
Site Sketch
ISSUED TO:
Authorized State
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PROPERTY LOCATON:ial /_ B!� /3d4 ��
SUBDIVISION LOT if
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Date: 11,-3 'r S
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant: G6"7- ,-
Address: Date Evaluated:(Z Z"'` a r�(v��"'
Proposed Facility: C,&., Design Flow (.1949): 1 �� (G Property Size:
Location of Site: Property Recorded:
Water Supply: __f?Fublic❑ Individual ❑ Well ❑ Spring
Evaluation Method: ❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑/3Ewage ❑ Industrial Process ❑ 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 (W.)
.1956
Sapro
Class
.1944
Restr
Horiz
2
L -yam
c-8
CIn.-
3
z$
sac(
, .MJ ✓
2Y"
3
Description Initial Repair System Other Factors (1946):
System Site Classification (.1948W"S
Available Space (.1945) Evaluated By: 71-1-1
System Type(s) 2 V" Others Present:
Site LTAR • 3