IPACHTE# «S _ -PPO:S Harnett County Department of Public Health 28802
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Y FZ
ISSUED T0- �0%a� eAl��S l i r^„ yn SUBDIVISION LOT # 16
NEW f 7 % REPAIR ❑ EXfANSION (3 Site Improvements required p r to Construction Authorization Issuance:
Type of Structure: '3%z
Proposed Wastewater System Type: S5% 16-60TLrzx- .N
Projected Daily Flow: Pbb GPD
Number of bedrooms: t - Number of Occupants: max
Basement ❑Yes C?r-No
Pump Required: []Yes ❑ No E3�M` be required based on final location and elevations of facilities
Type of Water Supply: 11 Community C Public ❑ Well Distance from well feet Permit valid for. Olive years
Permit conditions: ❑ No expiration
Authorized State ACr, Date: — `i — /� SEE ATTACHED SITE SKETCH
The issuance of this permit by tHtlt Department in no way guazantees the issuance of otlter permits. The permit holder is responsible (or checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation d t e 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, .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 T0: & 6s LS /dura' —, � ��- ; PROPERTY LOCATION: 5 N
t /e/r1� .97! � r .n
�'
C SUBDIVISION <YfLc'tnI S (/!,; .,, LOT #
Facility Type: G� New Q Expansion El Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Ls3 No
Type of Wastewater System** 7S Va 17--WeTWA-53g G+ — (Initial) Wastewater Flow: c+'SO GPD
(See note below, if applicable ❑)
z5016 iy1nrGs of ;.</v, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size / 00 6 gallons Exact length of each trench /010 feet
Pump Tank Sizegallons Trenches shall be installed on contour at a� /
Maximum Trench Depth of: Zo —> 16 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
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: / undeatand the rystem type specified is different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation 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 provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
[Authorized State Agit: Date:
Construction Authorization Expiration Date: — S —i/
HTE# 380si Permit # ZAFG?-
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:-W-M16( !Zb
ISSUED T0: ZP6wa4e ,au� � SUBDIVISION LOT # In
Authorized State Ageii� - i-� A /� J Date:
v
i�
e,
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'�"�t�-
Proposed Facility: Design Flow (.1949): -
Location of Site: Property Recorded:
Water Supply: [Public❑ Individual ❑ Well
Evaluation Method:[] Auger Boring ❑pit ❑cut
Type of Wastewater: QSewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope %Y
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 W.
.1956
Sapro
Class
.1944
Restr
Horiz
3L-tdn» _
FK C< ^,"-c
Tdt-
" ZS
Z
L J O
0 -ID
1-
D -A6
/
G'..- to S.,
zoo.,
3 C
549
L
0-1$
S(,
c3 ws o
lg Yz5C-Cl
.;,_ I.4k34%
Description Initial Repair System Other Factors (1946):
System Site 'Classification'(. 1944 5
Available S ace (.1945) Evaluated By
�
System T e(s) 2 Others Present:
Site LTAR Y