IPACHTE#I/& S - 37a55.:r Harnett County Department of Public Health 28681
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIO = Z /iv s c
ISSUED T¢ SUBDIVISION . /ice LOT # 74
NEW ®' REPAIR❑s� EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: �2,5 9� iZ.t`�-�'ll LF-CT3
Projected Daily Flow: .''5 l J GPD
Number of bedrooms: Number of Occupants: _max
Basement []Yes o
Pump Required: es ❑ No ❑MMaYe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well het Permit valid for. 21ive years
Permit conditions: ❑ No expiration
Authorized State Agent• � . <-'I Date: L - z '/G SEE ATTACHED SITE SKETCH
The issuanceof this permit by fisHealth Department enf 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 revocatioKSf 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 Permitl
The construction and installation requirements of Rules .1958, .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 TO: � � Aldfin �'�>L PROPERTY LOCATION:. L ZJ /.afir e
SUBDIVISION LOT #LG1
Facility Type: Cyd New �" Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
/tr ✓� ZS J, 3/.C7)U(o?r/i�Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /DO CS gallons Exact length of each trench 2 Y O feet Trench Spacing: Feet on Center
Pump Tank Size /006 gallons Trenches shall be installed on contour at a Soil Cover. —c—Inches
Maximum Trench Depth of: 241 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
(Maximum soil cover shall not exceed
36" above the trench bottom)
— inches below pipe
Aggregate Depth:�� inches above t
inches total
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.
**If applicable: / understand the system type sped'ed is different from the type specified on the application. / accept the speddcations o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Authenzation is subject in revocation if the site plan, plat or the intended use chuRes. 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 He nl (Bl.n[q IIIc 3111tIe.q
7
Authorized State A&Pt:'�'1��,"� `R 3 Date: Z -z-/ &
G/
Z z
Construction Authorization Expiration Date: a l
HTE# .1!, —'i:— — 32$53
Permit # 2 Ne 8 f
Harnett County Department of Public Health
Site Sketch
PROPERTY LOLATON:—,e /YW C" 604K %ID
ISSUED T0: S%i9�JGL/ l3o�Q�ic G / SUBDIVISION Dt°x�eL2FZ<.yJ' LOT #
Authorized State Agent' //3 /+ tom✓ Date: Z - Z
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIWSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant
Address: Date Evaluated:
Proposed Facility: ) Design Flow (.1949):31:- m
Location of Site:Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: n Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: [-Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
OOTHER
F
1
L
E
#
1940
Imdscape
Position/
Slope%
Horizon
Depth
(In.)
SOI. MORPHOLOGY
.1941
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
1,2� 3
(, �
0-3o
SL
%x' /rte ,✓
so -496
JCI4
✓
V414_
CIOs 7.ayN
Description Initial Repair System
System
Other Factors (.1946): _
Site Classification (.1948): t
Evaluated By:
Others Present:
Available Space(. 1945)
System Type(s) S
Site LTAR ' '( • `i