IPACHTE f7 Harnett County Department of Public Health 28686
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
* PROPERTY LOCATION: L
ISSUED TO- b?,( J6e YbAq<_ S SUBDIVISION 13UG I UiL7J 61-r2 LOT #
NEW I� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S `-1>
Proposed Wastewater System Type: Z7a;' 'lo nf, lyC.nx'ta
Projected Daily Flow: --5 Cel GPD
Number of bedrooms: �7 Number of Occupants: _ e max
Basement ❑Yes ET -N.' No
Pump Required: ❑Yes ❑ No El May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I�blic ❑ Well Distance from well feet Permit valid for.
Permit conditions:
011�ye years
❑ No expiration
Authorized State -rs C AY( L�� .�T"��'"Date: L'3 '/lam SEE ATTACHED SITE SKETCH
The issuance of this permits ie Realsh De�y 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 of 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 provisiom of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permjt)
The anstmmion and installation 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 accordance
with the attached system layout
ISSUED TO: PROPERTY LOCATION: ,i �4 Z
�/ SUBDIVISION F7t'cf02J�,B2r�� LOT #_
Facility Type: f� FZJ New Expansion El Repair
Basement? El Yes No Basement Fixtures? 1-1 Ye L� No
Type of Wastewater System** (Initial) Wastewater Flow: 360o GPD
(See note below, if applicable ❑)
ZSM f2fd�1(fUfZvn. s fT2-- (Repair)
Installation Requirements/Conditions Number of tren es L -(—
Septic Tank Size /6-0-0— gallons Exact length of each trench 660 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a " Soil Cover. inches
Maximum Trench Depth of: Ji6a 19 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: � 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 tystem type specified is different from the type spedbied on the app/icaden. / accept the rpeaficabons of this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revoadon n the site plan, plat, or the intended use changes. The Construction Authorkadon shall not be transferred when there is a change in ownership of the site. This
construction Authoriavon is subject to compliance with the provisions off the
/Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State a"' i pie zJ�f Date: Z- f
Construction Authorization Expiration Date: - ti-- 2 1
HTE#�� 5 — ��� S% Permit # 2�3 (— `?
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: 1 12
ISSUED TO: SUBDIVISION LOT # `!
/ A �1J j
Authorized State A IV Date:
C;f I J�,
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:
Proposed Facility: 7^��- Design Flow (.1949):3 t _tJ
Location of Site: Property Recorded:
Water Supply: [Public❑ Individual ❑ Well
Evaluation Method: ❑ IlCuger Boring ❑ Pit ❑ Cut
Type of Wastewater: Q 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
& LIAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Ran
Honz
1.2
y+Y
L--
�- s
s� - �'"
6o")
Sti
32-39,.
Y"a
LLQ
kO>sa(I
Description Initial Repair System Other Factors (1946):
System Site Classification (.1948): PIS
Available Space (.1945) Evaluated By:
System Type(s) e- Others Present:
Site LTAR • 3 1 13