IPACHTE# 4�-�- 3759{` Harnett County Department of Public Health 28680
ImDrOVement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:. ZZ/;5'-/4A7_-e77 V /W
ISSUED TOj /ZC SUBDIVISION QIVAzI C/L,J LOT # /U
NEW 2' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z'5%J_QA>
Projected Daily Flow: Lt f3o GPD
Number of bedrooms: Lf Number of Occupants: 19 max
Basement ❑Yes 2io
Pump Required: []Yes [3 No Q M e required based on final location and elevations of facilities �
Type of Water Supply: I—]CommunityPublic El Well Distance from well feet Permit valid for: Lrl F�ive years
Permit conditions: ❑ No expiration
Authorized State Ageil G Date: /— Z"r _Z(2 SEE ATTACHED SITE SKETCH
The issuance of this permit by Nealth Department 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 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 Permit)
The construction and installation requirement of Rules .1950, .1951, .1954, .1955, AM, .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: Lvic PROPERTY LOCATION: 5/Z ZZ/5' hkome7" 60.a1� ;>b
SUBDIVISION aZl in, f An) LOT # to
Facility Type: WSJ% VNewExpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes C No
Type of Wastewater System** ZS% iZCbVc.;z-'] !!�7s "r— (Initial) Wastewater Flow: 80 GPD
(See note below, if applicable ❑)
ZiM 11kbL �-- a�,z— (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size IZ 0 gallons Exact length of each trench 1<U feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour ata Soil (over. inches
Maximum Trench Depth of: Zq inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/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.
I inches below pipe
Z inches above pipe
/Z inches total
**If applicable: / understand the ;ptem type specified it different from the type specified on the application. / accept the rpeci6cationr o/ 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
anstruamn Menomzaton is subject to compliance with the prowsions of th�Constructlo
eaws and Ru/les for Sewage Treatment and Disposal and to the conditions of this permit ltt RI IRA.ntU lilt Mtll.n
Authorized State rat: Lj Date: / —Ze+ -Ito
Authorization Expiration Date: / — 2 c-' - Z /
HTE# I% -s- 375T(, Permit # 2 ?,G SO
Harnett County Department of I- t>blic Health
Site Sketch
PROPERTY LOCATON: ZS>Z 27 1 T 1 --,PT C --An iZ (ZI)
ISSUED TO: _/3/2 L �6� �> / SUBDIVISION aov"-P �I•S-A LOT # reg
Authorized State A Z .. — Date: I J Z 2-161
5254 Y'.yi
--7E1Z(,& — _
R
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: 1-T2'
Proposed Facility: _1_4� Design Flow(. 1949):
Location of Site:„__,,,,�� Property Recorded:
Water Supply: LTFublic❑ individual ❑ Well
Evaluation Method:❑ �er 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
(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
Sapm
Class
.1944
Restr
Horiz
Zq
5L-
41T
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948)J�
Available Space(. 1945) Evaluated By:
System Type(s)) Others Present:
Site LTAR ”!