IPACNTE# /6`3--3-7138 Harnett County Department of Public Health 28694
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION6—,,(-1554 iL�6
ISSUED TO: F1rZ4 SUBDIVISION LOT #
NEW 2-' REPAIR ❑ EXPANSION ❑
Type of Structure: S FJ
Proposed Wastewater System Type: [Z-E'�O!= Z ..
Projected Daily How: 31yo GPD
Number of bedrooms: �I..-- Number of Occupants: max
Basement ❑Yes L9 No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes ❑ No a My be required b d on final location and elevations of facilities
Type of Water Supply: ❑ Community El Public Well Distance from well /DO v feet
Permit conditions:
Permit valid for.
L7 Ewe years
❑ No expiration
Authorized State A ' a Date: —/ 7 — / Co SEE ATTACHED SITE SKETCH
The issuance of this permit th ealth Department in no way gu amms the ismantt of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site b subject m revocation 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 permit is subject to compliance with the provisioes of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permitj
The construction and installation requirement of Rules .1950, .19S2, .1954, .1955..1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in ucadance
with the attached system layout.
ISSUED TO: PROPERTY LOCATION:c`57C/S--'>B E6—e /f7P.r &6
SUBDIVISION LOT #
Faality Type: % 13� New ❑ Expansion ❑ Repair
Basement? ❑ Yes Er No Basement Fixtures? ❑ Yes Q No
Type of Wastewater System** (Initial) Wastewater Flow: 3(�O GPD
(See note below, if applicable ❑)
/l-% KtA&4- / ?sem /261>CO—U(Repair)
Installation Requirements/Conditions Number of trenches 45—
Septic
Septic Tank Size 1000 gallons Exact length of each trench Coo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z4" inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing Feet on Center
Soil Cover.01 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
�e
inches below pipe
Z
inches above pipe
z—
inches total
**If applicable: / understand the t)nem type Apedhed it different hum the type spedhed on the app/icadon. / accept the rpedfeadonc of this permit
Owner/legal Representative Signature: Date:
This C, aor fi.n Anthmmfinn i, n1bi,H on ..m.. if the ,it, plan..6t. nr the inond#d n,. than,.,. The Comtnnion Audmriraton dull not be tramferred when there is a than,# in owarshm of the rise. This
Construction Authorization is subject to compliance with the provisions of�the
�Lam and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agerti�y rL/ / Date: Z— / 7 —/
Construction Authorization Expiration Date: Z — / 3 — L/
HTE# - S —3-7938 Permit # 2&L9
Harnett County Department of Public Health
Site Sketch
D PROPERTY LOCATONm /S 5S ��Gn�_Yc�7 Clfy/LC N )�Z
ISSUED TO: /=1C24'bel4— ��/� CI— t W SUBDIVISION LOT #
Authorized State Ag/ !f t: G" < i t- —^
//}�./(/ Date:
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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: SO
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):3.ZO
Location of Site: Property Recorded:
Water Supply: Erfublic❑ Individual E34ell
Evaluation Method:B-Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: El -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
IN.
.1956
Sap-
Class
.1944
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Hwiz
1
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SL
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Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space(. 1945 Evaluated By:
System Type(s) ZS b^^ Others Present:
Site LTAR