IPACHTE# 378 Z Harnett County Department of Public Health 28693
Improvement Permit
A building permit cannot he issued with only an Improvement Permit /Z:§'Jsa4—`�''`Q'�`�'—�
/7 /� �/ PROPERTY LOCATION:, yJ5,r— / 7a�/7c1Zr✓7/%t t/ i�d7 z�% �2i�
ISSUED T C _ �/h, /�!/de&4 � SUBDIVISION LOT #
NEW l�PA� EXPANSION ❑
Type of Structure: s...o
Proposed Wastewater System Type: 5%
Projected Daily flow: /4Jq0 GPD nn. uawJ�s
Number of bedrooms: Number of Occupants: 74 4ax
Basement []YesNo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: [1Yes ❑ No ❑ Ma be required ed on final location and elevations of facilities
Type of Water Supply: El Community Public f`Well Distance from well /4V feet
Permit conditions:
Permit valid for.
F3 Five years
❑ No expiration
Authorized State A Date: 3 —2 — f(o SEE ATTACHED SITE SKETCH
The issuance of this permit by Health Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it 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 condition, of this permit..
Construction Authorization
Required for Buildin¢ Permit
The construction and installation requirement of Pules .1950, .1957, .1954, .1955, .1956, .1957, ASS. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
1214z i tgll*xw l -Pi( PROPERTY LOCATION: B.. 5"
ISSUED TO: i
6 / �lSS57 I �T�ti�,a..� /Tr; // / oa-,a� 2,11
SUBDIVISION LOT #
Facility Type: RL, 17 New Expansion ❑ Repair
Basement? ❑ Yes ff No Basement Fi res? ❑ Yes E No
Type of Wastewater System** ,Rdr,ro 1r) Z5% TZE;:dt.xleo (Initial) Wastewater Flow: / i46 GPD
(See note below, if applicable ❑
�v't n 1 as ?S �1a 12 ��GZ I �?r� (Repair)
Installation Requirements/Conditions Number of trenches If
Septic Tank Size 2576z' gallons Exact length of each trench 1217 feet Trench Spacing: Feet on Center
Pump Tank Size 2500 gallons Trenches shall be installed on contour at a Soil Cover. - 4, inches
Maximum Trench Depth of. 7-11J%4x 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: fL TOM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: 46 tlk�e e f dDsrT6_ / 7_ inches total
WATER LIVES (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: l understand the sXtem type specified is different from the type spechfed on the application. / accept the spea6cadmr o/ this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revozadon if the site plan, plat, or the intended use changes. 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 provisionsofthe laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Aeen C. fDate: 3
Construction Authorization Expiration Date:
HTE# It, -S-- 3-7t3lZ Permit # 2R6 j 3
Harnett County Department of Public Health
Site Sketch
/ PROPERTY LOCATON:e'r-[/n—/ /✓j n /Z( 6/�r�—�
ISSUED TO: SUBDIVISION LOT #
Authorized State
Date:
' ( /Lt, dl`- 4--c
o r�r_t
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIUSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: l
Address: Date Evaluated:
Proposed Facility: rll°r.(.�rw- Design Flow(. 1949)14yyC)Vd Property Size:
Location of Site: 0 Property Recorded:
Water Supply: ErPublico Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 0 Sewage ❑ Industrial Process ❑ Mixed
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
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
L
S
L'6°G
O -To
SL
IGS �r(�
P
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space( 1945) Evaluated By: �� � V7_
System Type(s) Ilt Others Present:
Site LTAR