IPACHTE#.J S 3-7 2 Harnett County Department of Public Health 28673
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
n L / PROPERTY LOCATION: vire S ��
ISSUED T0: �OMAm-1 /7D" S 1/uC SUBDIVISION �lt IIJOcPs LOT # -4&—
NEW l;� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFS
Proposed Wastewater System Type: 2�v'1n f2=l?Sl)C�ZZGI�
Projected Daily Flow: 3 Coo GPD
Number of bedrooms: 2 Number of Occupants: 61 max
Basement Dyes
Pump Required: Dyes ❑ No Ll �Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community U Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
D Five years
❑ No expiration
Authorized Stat gent:: L / 4z Date: 1— 13 —t to SEE ATTACHED SITE SKETCH
The issuance of This permit the H alth Department in no way guarantees the iss�dhermits. The permit holderis responsible fir chxking with appropriate governing bodies in meeting their requirements. This
site is subject to revoatio it rte plan, plat or the intended use changes. Theit 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, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Symms shall be installed in accordance
with the attached system layout
ISSUED T0: e/"'en "n;7:e�i21-/U
SUBDIVISION t)x-e2n1!Q 1 9n rcQ-, LOT #
Facility Type: Z"'NewExpansion El Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes IJ No
Type of Wastewater System** 9$a/o I'L 1>dC-Z-L" �.sqGr— (Initial) Wastewater Flow: 3 CoQ) GPD
(See note below, if applicable ❑)
��(Repa.0
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size �/ D6 -J gallons
Pump Tank Size .660 gallons
Pump Requirements: It. TDM vs.
Conditions:
Exact length of each trench f V2 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: V" 0""t inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: S Feet on Center
Soil Cover._ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
_ inches below pipe
Depth: 2 inches above pipe
u . 12- inches total
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.
**If applicable: / understand the system type specified is different from the type specified on the application. l accept the spedbcations of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to reeoa609 if the site plan, plat at the intended use changes. The Construction Authorization shall not be transferred when there u a change in ownership of the site. This
commission 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 A t:Gc rt>t Date:
Construct on Authorization Expiration Date:
HTE# /5 -S -3-1 Co27 (o Permit # 29b 7 !S
Harnett Connty Department of lNiblic Health
Site Sketch
nn � � _ PROPERTY LOCATONr / 66, O/ � �12 /M
ISSUED TO: n `�T� J n�C SUBDIVISION 0u42,7-nA0 LOT # 1�
Authorized State Ag f Date:
Zba
b
17
c", 9)61�5
-D3
0,
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: "_ _y.
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Sheet:
Property ID:
Lot #:
File #:
Code:
IL -
-1
Evaluated: )-Itl Y
Design Flow(. 1949): 11-6 Property Size:
Property Recorded:
Q Public❑ Individual E]Well ElSpring
E] Auger Boring ❑ Pit ❑ Cut
0- Sewage ❑ 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
Mineralo
.1942
Soil
Wetness/
Color
I943
Soil
th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
I,i3
3�PZ
L-
o IS
SLC
3'S-40'
Description Initial Repair System
Other Factors (.1946):
System
c�,,GG
Site Classification (.1948): Ian
Available Space (.1945) v'
Evaluated By: uu 1 _ _
System Type(s) Z Yet
Others Present:
Site LTAR