IPACHTE #a-7 Harnett County Department of Public Health
28700
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION- , `/ N f( /#-OWNS /Z L
ISSUED TO- T ✓a l Q*K5 fav rJlac-+��--T1 GuwbUBDIVISION LOT # S
NEW REPAIR ❑�' EXPANSION ❑ Site Improvements required pri to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: � Ch"�
Projected Daily Flow: 9C) GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Z No
Pump Required: ❑Yes ❑ No �M e required based on final location and elevations of facilities �
Type of Water Supply: ❑ Community fJ' Public ❑ Well Distance from well feet Permit valid for. 2 -Five years
Permit conditions: ❑ No expiration
Authorized State Agent �V/� .fes S/� Date: 5 - 3 �/ ( SEE ATTACHED SITE SKETCH
The issuance of this permit b e Haith Department in no way guars t es the issuance of other permits. The permit holder is responsible for deeding with appropriate governing bodies in meeting their requirements. This
site u subject to revocation rthe 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 installation requirements of Rules .1950, .1957, .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: ,�s/�/D/f�S �/iAfc�� C.'C/ ,yJ PROPERTY LOCATION: 5iZ 14 'f k 44—ZPJ-5 ,/ZD
SUBDIVISION Vi If ,a , Q LOT #
Facility Type: 5 Gd New �' Expansion El Repair
Basement? ❑ Yes No Basement Fixtures? ❑Yes E No
Type of Wastewater System** 25% 2� i U Lr r Uri njEy c H:; (Initial) Wastewater Flow: '/Sc' GPD
(See note below, if applicable ❑) '
(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 16 « gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 10 O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 2 2 `t inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: r Feet on Center
Soil Cover. 4__::::_1nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: T. inches above pipe
2 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: / onderrtand the rystem type specifed is diNerent from the type specified on the apphration. / accept the speri6rations of this permit
Owner/Legal Representative Signature: Date:
This Cnnstructiun Authnmrtinn is suhi,a in revootinn if the tiro nLaa but or the intended use champs. The Construction Authomaeon shall not he transferred when there is a chanoe in uwnenhin of the site This
Commission Authorization is subiea to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
a--
Authorized
Authorized Sta gent: __ y�/h Date: -3
Construction Authorization Expiration Date: 3 ' =7
HTE# �� ' �'�L7 o 'D C)
Permit # Z b
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON." /`7NR/BVAA "F 9Z
ISSUED TO: Y�
Authorized State h
Date:
ti
� SYS J
fir
IFWK )S Vll/,4y c 670VIL%
LOT #
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: 3-1 -74�,
Proposed Facility: 54a/_�> Design Flow (. 1949): ctl*,6
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method:E]—Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ITSewage ❑ 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
D th IN.
.1956
Sapro
Class
.1944
Restr
Horiz
1'2'3
r-?�A
L_
0- tg
_SL_
Description Initial Repair System Other Factors (.1946):
S stem _ Site Classification (.1948):
Available Space (.1945) Evaluated B�ii
System Types) 5 J Others Present: /.
Site LTAR • W I/'