IPACHTE# K7 -5--L"7`}7/ Harnett County Department of Public Health 28699
3-73-12 Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED TQ'(��
// /1 PROPERTY LOCATION:r9L/c/d/ /Zzz/ .5'eZ2i11 %e4
GOO N k7 SUBDIVISION Vd-(-, LOT # L
NEW 17f REPAIR ❑ 6PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `a�T�)
Proposed Wastewater System Type: 25'/oTZ&-jbtt[ tnD
Projected Daily Flow: GPD
Number of bedrooms:— Number of Occupants: _��max
Basement ❑Yes [no
Pump Required: ❑Yes ❑ No Mj✓be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑+ Public ❑ Well Distance from well feet Permit valid for. [i Five years
Permit conditions: ❑ No expiration
Authorized StateA G Date: is-- I--(� SEE ATTACHED SITE SKETCH
The issuance of this permit byilth 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 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 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 instillation requirements o1 Rules .1958, .1953, .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. /J
ISSUED TO: (�1 �06 u.� PROPERTY LOCATION:,SC../YJ /Z&;JS &C
SUBDIVISION LOT #
Facility Type: Ldl New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes LAS No
Type of Wastewater System** i Jr -'Do" -urs -J SNIS i7y (Initial) Wastewater Flow: 3(o0 GPD
(See note below, if applicable ❑)
CLei A3a-Z Sc,5i-Sti_ (Repair)
Installation Requirements/Conditions Number of tre rhes 3
Septic Tank Size 4606 gallons Exact length of each trench 16D feet Trench Spacing: / Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: :Z--nches
Maximum Trench Depth of 2-N 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: h. TON vs. GPM inches below pipe
Aggregate Depth: 2 inches above pipe
Conditions: C'a �nwrr � "'a /keg —, -,4--) -7� -'1'Z t /L inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 specified is different from the type rpecifed on the application. / accept the rpecifcatianr of this pecmit
Owner/Legal Representative Signature: Date:
This Construction Authomation is subject to revocation if the sin plan, plat. or the intended use changes. The Construction Authorization shall net 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 5[t MIAMI) lilt Mt IlN
Authorized State Ag G / Date: 13 / - / (�
Construction Authorization Expiration Date: 3 - / - Z
HTE# �l0-5 -3 791 Permit # 7 899
H'arnett` i my Department of Public Health
Site Sketch
PROPERTY LOCATONz!5JY4, / /2a11ros fisc I /Zb
ISSUED TO: ry' SUBDIVISION ✓f-l� LOT # Z
Authorized State Agent. Date:
'VZO jkQe T
F _,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOI /SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: do -A q '
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): 3e oD-
Location of Site: Property Recorded.-
Water
ecorded:
Water Supply: ,�/ 61 ublic❑ Individual ❑ Well
Evaluation Method: Auger BBo�T'ng Pit ❑ Cut
Type of Wastewater: i 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)
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Iza
4SF
G�
L_3 i
a _
bre
0 -
to-
b— w
tel
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�
I� t$r
/9
1
N
P
a.3��
0 -lb
Y
f,� Ca e'an ny
'5dzt
Zv?e�y
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948):.fF7
Available Space .1945) Evaluated By:�
S stem T s) Others Present:
Site LTAR