IPACHTE#/may " 3%(� `iy Harnett County Department of Public Health 28666
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
]J���//�� PROPERTY LOCATION
ISSUED T01 /L(JTIL& 0 (9� SUBDIVISION LOT #
NEW f( REPAIR ❑ EXPANSION ❑
Type of Structure:
Proposed Wastewater System Type: to h p 4,5 25`3LS fLPtS
Projected Daily Flow: 2(pZ GPD
Number of bedrooms: 3 Number of Occupants: ax
Basement []Yes Lel No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: 2 s ❑ No ❑Ma a required based on final location and elevations of facilities five of Water Supply: ❑ Community Public El Well Distance from well feet Permit valid for. fdfive years
Permit conditions: _ _ _ ❑ No expiration
Authorized Stat ent: �9�`i Date: /L ^G7 �/ s SEE ATTACHED SITE SKETCH
The issuance of this pens Health Deprrunen mm 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 reroah n d 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 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 accordance
with the attached system layout /�
ISSUED T0: 74L4w-s Q PROPERTY LOCATION: 3C&R! /4W64 --,o /ti//y �^�'ez'
—/ SUBDIVISION LOT #
Facility Type: Lel New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 211 o
Type of Wastewater System*" f s'4 fi4a^- (Initial) Wastewater Flow: 3940 GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1600 gallons Exact length of each trench So feet Trench Spacing: Feet on Center
Pump Tank Size DD O gallons Trenches shall be installed on contour at a Soil Cover: � inches
Maximum Trench Depth of: Z'1-319 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. TDM vs. GPM _ o� inches below pipe
//� nn __ Aggregate Depth: Z inches above pipe
Conditions: �rAalelllGf`�. 0 %Mze. 6r1sxr4 /t.1/L. ed� ?PJs7f►# /Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type spealed is different from the type speciled on the app/ication. / accept the Jpedficationr of 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
lonstro(hon AuUmmahon Is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the condiuona of this permit ltt AI IALNtU lilt 85tittl
Authorized Stat gent: Date: ZZ:::L7
Construction Authorization Expiration Date:
HTE#/S'= 5 ' 3��o i Y Permit # Z 8l41r 6
Harnett County DepaAment of Public Health
Site Sketch
PROPERTY LOCATON:S//M /�441
_ /1�,(/ i r
ISSUED TO: Z4 s 6 6605e,,0e c_ SUBDIVISION LOT #
Authorized State C Date: /Z—Z
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): 34.D)
Location of Site: Property Recorded:
Water Supply: [� 'ublic❑ Individual El Well
Evaluation Method:E�auger Boring ❑ Pit ❑ Cut
Type of Wastewater: swage ❑ 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 RJ.
.1956
Sapro
Class
.1944
Restr
Horiz
O -j')
SSL
3
C/
Desenpitimn Initial Repair System Other Factors (.1946):
System Site Classification):
Available Space (.1945) Evaluatedted By:
System Type(s)) Others Present:
Site LTAR