IPACHTE# I i.-5 - 3-7 Harnett County Department of Public Health 28678
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
y— PROPERTY LOCATIORI .? e --!o
ISSUED TY/CSI SUBDIVISION i7iAvc /licQii LOT # Z_
NEW Id REPAIR ❑ EXPANSION Site Improvements requl ed prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 25'a', 1-7l316vt8'=-d?J
Projected Daily Flow: 4 0 o GPD
Number of bedrooms: 4 Number of Occupants: max
Basement []Yes a No
Pump Required: Dyes ❑ No E 'May be required based on final location and elevations of facilities
Type of Water Supply: 1-1CommunityE Public ❑ Well Distance from well feet Permit valid for: fs Frve years
Permit conditions: ❑ No expiration
Authorized State Agen Date: / - Z o - / % SEE ATTACHED SITE SKETCH
The issuance of this permit byealth 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 m revoation i( a site plan, plat or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This pemit 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 installadan 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 aaordance
with the attached system layout.
ISSUED T0: IKU J b? PROPERTY LOCATION: x/4/8
SUBDIVISION /Zi4 AAt , /73'c11frm LOT # z
Facility Type: 571�a 2rNew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes �la
Type of Wastewater System" 2'SPa r2t�2ZUc-rY.ufl rte— (Initial) Wastewater Flow: yw GPD
(See note below, if applicable
1✓ (Repair)
Installation Requirements/Conditions Number of trenches ,—
Septic Tank Size / ZG gallons Exact length of each trench / y feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour ata Soil (aver. inches
Maximum Trench Depth of ZZ""'XI"Xinches (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. TDH vs. GPM inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: / 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 rystem type spechfied is different from die type rpecAed on the application. / accept the specAdtionr 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
construction 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 At AIIALITU) lilt AtILIf
—�
Authorized State Agor-:) / 4� I � Date: / - Z P� /6
Construction Authorization Expiration Date: / LGv Zf
HTE# IL 6 -37836 Permit # ZQG,7g
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: /- r�
ISSUED T0: /1 t �i� S���z�j SUBDIVISION lL LOT # Z
Authorized State
Date: I /- Z e -
T
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: i"� 5
Address: Date Evaluated:
Proposed Facility: �/,5i-% Design Flow (.1949):[.£2
Location of Site: Property Recorded:
Water Supply: �ru-blic❑ Individual ❑ Well
Evaluation Method:Q—Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ age ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
landscapeHorizon
Position/
Slope %
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineraloav
.1942
Soil
wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
3•ra
y- 3G
Scc t r
15,3 1- 6 , C'
32-3 N P.,
_ 3
Description Initial I Repair System Other Factors (.1946):
System I Site Classification (.1948):
Available Space (.1945) Evaluated By:
Site LTAR
System Type(s) > Others Present:
j