IPACHTE #-37"180 Harnett County Department of Public Health
28804
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTYLOCATION:2x `s`3% ate -Ltd
ISSUED TO- Cu �s�c l G� /4iay _ $� SUBDIVISION l��e-.� A36r ,.-C, LOT # 1-77NEW Ira REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: b G�� 42i r dZe�
Projected Daily Flow: c -i9-0 GPD
Number of bedrooms:— Number of Occupants: max
Basement Dyes No
Pump Required: []Yes ❑ No L2 May be required based on final location and elevations of facilities ��
Type of Water Supply: ❑ Community f� Public El Well Distance from well feet Permit valid for. f2" Frve years
Permit conditions: ❑ No expiration
Authorized State Ag ` 64-a) Date: 3 - �`� / SEE ATTACHED SITE SKETCH
The issuance of this permit by a Hea Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in mee6� their requirements. This
site is subject m revocation if he- I pin, plat or the in
use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject m 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 mnstmttion 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.
ISSUEDPROPERTY LOCATION'.,5-Jf37 1 tKsa„62_✓66
SUBDIVISION 4_�zs z9�� LOT # v 7 7
Facility Type: New ❑ xpansion El Repair
Basement? ElYes Ef No Basement Fixtures? ❑ Yes No
Type of Wastewater System** 25 ;95&0UZ4�so — (Initial) Wastewater Flow: ci8y GPD
(See note below, if applicable ❑)
�/�
Installation Requirements/Conditions
Septic Tank Size 00 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
�t� (Repair)
umber of trenches
Exact length of each trench 3Sv feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 18 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: / Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth:— 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: /understand the rystem type spec/fled is different from the type spe6fed on the app/ic2don. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revootion 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 provinces of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AIIALHLU lilt )IISIIM
� / v
Authorized State Date: 3`yy
Construction Authorization Expiration Date: 3 — — ? /
HTE# 15— 5 — 37q 26 Permit # 2f3eo'-1
Harnett County Department of Public Health
Site Sketch
�I PROPERTY LOCATON: n?ug," /3r1Clr.viJ�
ISSUED TO: TPc_ SUBDIVISION / iaalr—ZIUMC ✓ LOT #
Authorized State Date: 3— ( `%
�I 0
C'Wep4dr' P&I
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: C_• _ '
Address: Date Evaluated: 3 -lt-lb
Proposed Facility: Design Flow (.1949): t-(
Location of Site:,� Property Recorded:
U
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: El Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑_ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
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
rL
v
rte -t6
51-
/•w[,....av+�
3•i
G.-
0.8
��L
7c'+
,—
S.C.
�• ATL
Description Initial Repair System Other Factors (.1946):
Sys Site Classification (.1948):
Available Space (.1945) Evaluated By.
System Type(s)) Others Present }:
Site LTAR•2S �3