IPACHTE#l& 3�f3��" Harnett County Department of Public Health 28683
Imorovement Permit
A building permit cannot be issued with only an Improvement Permit
�y1 PROPERTY LOCATION: r' /�
ISSUED TO, 141Au,,i 4k SUBDIVISIONl�✓t Co/ — LOT #jl,
NEW FZ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5F-��
Proposed Wastewater System Type: 2,S� 09e�oZszes_.
Projected Daily Flow: tP $O GPD
Number of bedrooms: y Number of Occupants: 6max
Basement []Yes 121' No
Pump Required: ❑Yes ❑ No Id" May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑Public ❑ Well Distance from well feet Permit valid for: M Five years
Permit conditions: ❑ No expiration
Authorized State A nt:1 G te: Z —2-41-P SEE ATTACHED SITE SKETCH
by
The issuance of this permit tl CT N th 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 diefite 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 requirements of Rules .1958, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be me[ Systems shall be installed in mordance
with the amched system layout /
ISSUED TO: PROPERTY LOCATION: X7.21 S'
SUBDIVISION &)Ay119160 LOT #
Facility Type: Q New ❑ Expansion ❑ Repair
Basement? ❑ Yes Q No Basement Fixtures? ❑ Yes O No
Type of Wastewater System" 7'5-% ?r&hv tX749jl] cc�; -!>47' (Initial) Wastewater Flow: `180 GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size lZ t�U gallons Exact length of each trench zoo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 111-70' inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDM vs. GPM
Conditions:
Trench Spacing: / Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
4 inches below pipe
inches above pipe
inches total
""If applicable: / ondelrtand the s/rtem type rpecif'ed is different from the type specded on the application. / accept the rpecifinvionr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the sire pian, plat or the intended use changes. The Construction Authoriomon 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 hr Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
XJi% /
Authorized State Agent: �— C f , e a�lN� Date: Z — / (o
�/ Construction Authorization Expiration Date: z — z — Z 7
HTE# Permit # Z S,S3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 42 221 S' 4_,4¢-e �Q-�>
ISSUED TO: 9fLA�✓ f lu't _ /�ia SUBDIVISION G LlAta e. /ZAj LOT # V�
Authorized State Agent'X� - �S // / z Date: 2 - z - /6
DI-
3 ,
'J •cj,� p y�,� SrSf"— '
V
/ yP 50 ,0ft_ c�
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:P�'���+�-�/-�" e^'r g,I-Ib
Address: Date Evaluated: 1 "LZ,L
Proposed Facility: 54P)-, Design Flow (.1949): V/ b
Location of Site: Property Recorded:
Water Supply: �,� Public❑ Individual ❑ Well
Evaluation Method:[2 Auger��Bor))'ng ❑ Pit ❑ Cut
Type of Wastewater: IZ 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
(1n.)
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
4
L SL"c
0- to
SL (
FLGu-DSr7`(t
rt
Description Initial Repair System Other Factors (.1946):
Sy
stem Site Classification (.1948): f-'5
Available S ace (.1945) Evaluated Byl i✓
Sy
stem T e(s) Z - Others Present: �/
Site LTAR