IPACHTE# /l 318y Harnett County Department of Public Health 28679
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
7n /1 1 PROPERTY LOCATIONrS/W ZZ15— w n�7 �� r� A6
ISSUED TO' !�/C C f>110A E S Ti`tG SUBDIVISION a"!A Z'6/ew LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sf-%?
Proposed Wastewater System Tyke 7—:5% t'MIN- VC4-4%�
Projected Daily Flow: clYO GPD
Number of bedrooms:—
� — Number of Occupants: _ max
Basement []Yes !J No
Pump Required: []Yes ❑ No IiMa be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Urpublic ❑ Well Distance from well feet Permit valid for. ❑'fi-ye years
Permit conditions: ❑ No expiration
Authorized Statent::� ��--`�/A—„uj(te�{r Date: / Z�/-/G SEE ATTACHED SITE SKETCH
The issuance of this permit or./Health D way gua braes the issuance of other permits. The permit holder is responsible for deeding 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 Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permjt)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .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: �/CG #V;ejs-� - »pc- PROPERTY LOCATION: --*'- ZZt
SUBDIVISION QVAP-L1 GtEnJ LOT # �_
Facility Type: un, [if New Expansion ❑ Repair
Basement? ❑ Yes Id No Basement Fixtures? ❑Yes L9 No
Type of Wastewater System” 25% RAZQ <_r -T I �S y5'K-t-- (Initial) Wastewater Flow: `r 80 GPD
(See note below, if applicable ❑) s
1S9„ glut� (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size / zoo gallons Exact length of each trench too feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of Iy ^-f inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: %� Feet on Center
Soil Cover: 7—inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
J inches total
WATERLINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"If applicable, / andeatand the Yotem type spec6ed is different hom the type spedbed an the application. / accept therpeci; cadonr of this permit.
Owner/legal Representative Signature: Date:
This construction Authorization is subject to montion if the site plan, plat or the intended use changes. The constructions Authorization shall not be transferred when there u a change in ownership of the site. This
tonstmmon wmonzauon is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Dsi and to the conditions or this permit SEE ATTACHED SITE SKETCH
Authorized State gge>� 91 %f lel as>t G/4is
�— Date: /-zs -/&
Construction Authorization Expiration Date: /--74-Z/
HTE# 16 — S`— 37Ry7
Permit # 28675
Harnett County Department of Miblic Health
Site Sketch
//�/ PROPERTY LOCATON:�Z2(S" /-/¢2Nu� L:2-�.-a�,Q /Z,6ISSUED T0: /�� /�7f�+ti %+ Tc // SUBDIVISION QL2 rtr� �o I ✓ LOT # %
Authorized State Z Z l i4yvlu Date:
G
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: ff"'
Address:�rr�� Date Evaluated: 1 -?"'a 't -
Proposed Facility: Design Flow (.1949): t(�
Location of Site: ,,/ Property Recorded:
LJ
Water Supply: �,� Public❑ Individual El Well
L.7
Evaluation Method: Huger Boring ❑ Pit ❑ Cut
Type of Wastewater: -8 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
(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
N`L
S(-
GrLt3sNP
Q,3
L.3.�
o-�'
s`
6rcn2srlP
3p-
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): �.5
Available Space( 1945) Evaluated By�
System Type(s)e"5) e"5!o Z57.— Others Present:
Site LTAR r! ,Y -.T5