IPACHTE# Harnett County Department of Public Health
28620
Improvement Permit
A building permit cannot be issued with only an Improvement I'Amit
[� PROPERTY LOCATI N: 11,4 _
ISSUED TO: 7� a � 1Aon L5 SUBDIVISION (�Taa r%I o � LOT # 5G
NEWX REPAIREXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
SFO Type 6 "S7 • J
Proposed Wastewater System Type: a Soh QUC;5 so t,r 5yy-, E r
Projected Daily Flow: 36th GPD
Number of bedrooms: '> Number of Occupants: Ca max
Basement ❑Yes No
Pump Required: ❑Yes 111 No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well N Q O feet Permit valid for. Five years
Permit conditions: �� ❑ No expiration
Authorized State Agent: �5 Date: to I �1 )5 SEE ATTACHED SITE SKETCH
The Tswana of this permit by the Health Department in no way guarantees n 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. Then r nt 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
(Required for Building Permit)
The construction and installation requirement of Rules .1950, .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: R ) t—I— \)L 0 ries
PROPERTY LOCATIQN: I s 4 V-- r V-9
SUBDIVISION Ywq o+,O S yi rr`7 LOT # 51;
Facility Type: 6�D �L16 �rj�� XNew ❑ Expansion ❑ Repair
Basement? ❑ Yes —DR�No Basement Fixt�A(es? El Yes �No
Type of Wastewater System** a -S °{ o @-CSwGxt t v si � >S�N (Initial) Wastewater Flow: 3C6 GPD
(See note below, if applicable ❑) (�
aS°'10 `�—�.Q , %-y S • (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size t.0o0 gallons Exact length of each trench 156 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover, G—Ainches
Maximum Trench Depth of. 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: h. TDM vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specifed it different ham the type sperifed on the app/ication. / accept the rgeuh7atims of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorisation is subjeq do i( the site plan, plat. car the intended use changes. The Construction Authorization shag net be transferred when there is a change in ownership of the site. This
construction Authorization o comphan 'ions o1 the taws and Rules for Sewage Treatment and Disposal and to the Conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: tiallL
instruction Authorization Expiration Date: 1.1)*D
HTE# 15- 5- b
ISSUED TO:
1_
Authorized State Agent:
Permit #
Harnett County Department of IllUblic Health
Site Sketch
PROPERTY LO(ATON:_1rN6EN ZI)
SUBDIVISION R eao N N 4_� LOT # 56
Date: is
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: 3OQdCt Design Flow (.1949):36d Je
Location of Site: Property Recorded:
Water Supply:
Publico Individual ❑Well
Evaluation MethoAu Boring ❑Pit ❑cut
Type of Wastewater: �.]�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
(hi.)
SOIL MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minaalogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
1_51>s
o-
Description Initial Repair System Other Factors (.1946): 5
System/ Site Classification (.1948):
Available Space .1945 Evaluated By: fir`
System T s Others Present:
Site LTAR