IPACHTE# Harnett County Department of Public Health 28807
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED
PROPERTY LOCATION:A�z.7403 6�/co--!! s RJ'
TO: /T11/
.� tf /ZU77�
�lL✓if5 SUBDIVISION Chi+ _ 2az lC
LOT # q
NEW Lt1
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization
Issuance:
Type of Structure:
51-t,
1 51,u l0
Proposed Wastewater System Type: Z5'16r fJy v vJ
LOT # _
Projected Daily Flow:
3 to o
GPD
Basement? Yes Basement Fixtures? CS Yes LfOxND
Number of beddrdops:
3
Number of Occupants: L max
(Initial) Wastewater Flow: GPD
Basement LdYes
❑ No
J/
ZS°1tom—
Pump Required: ❑
Type of Water Supply:
E-1Yes No
❑Community
f�7 M be required based on final location and elevations of facilities
[Public ❑ Well Distance from well feet Permit valid for.
Five years
Permit conditions:
Septic Tank Size o 0 o gallons
Exact length of each trench /Sy feet
❑ No expiration
Authorized State Ag�iir l� -' Date: J - /w 16 SEE ATTACHED SITE SKETCH
The issuance of this permit lealth Department in no way guarantees the issuance of odor permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if 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 conditions of this permit..
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 system type rperhied is different fmm the type speahed on the application. / acrept the spedbradenr of this permit
Owner/Legal Representative Signature: Date:
This construction Authorindon is subject to mutation if the she plan, plat or the intended we changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is subject to campliana with tlu provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ag [.^ Date: 3 -1� -(Ca
j/ Construction Authorization Expiration Date:
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958,
.1953, .1954, .1955, .1956, .1957, .1958. and .1959 arc incorporated by references into
this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED T0: 1-1 A&I&MhJ
PROPERTY LOCATION: S&IV,03
1 51,u l0
�/ SUBDIVISION CP�.ayz_/lor4_
LOT # _
Facility Type: '5
ecu Expansion 1:1Repair
Basement? Yes Basement Fixtures? CS Yes LfOxND
Type of Wastewater System** Z5'/o
la�),t)CFEV-)_—
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
_311<:�>
ZS°1tom—
(Repair)
Installation Requirements/Conditions
tre r
Number of hes Z
Septic Tank Size o 0 o gallons
Exact length of each trench /Sy feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover. inches
Maximum Trench Depth of: ZZ inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4"
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs.
GPM
�_ inches below pipe
Aggregate Depth: L inches above pipe
� /J
Conditions: %l�aYWwfD). ir) APci�+.-/
72 r: 1. sr<f
_/Z 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 system type rperhied is different fmm the type speahed on the application. / acrept the spedbradenr of this permit
Owner/Legal Representative Signature: Date:
This construction Authorindon is subject to mutation if the she plan, plat or the intended we changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is subject to campliana with tlu provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ag [.^ Date: 3 -1� -(Ca
j/ Construction Authorization Expiration Date:
NTE# Permit # 2880%
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 03 G AR
ISSUED T0: ��, /%lY� S�(� w-/1q./J SUBDIVISION 20 LOT #
Authorized State Agentfr'� G �/✓� Date:
Tr- NoT /)nJ,,f- % 15e
/y,`'�Q %f✓vscC7��v .4.5 vtsck/sr�w�T/f
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: 5�
Address: Date Evaluated:
Proposed Facility: f%i*l Design Flow (.1949:,3&-z,
Location of Site: Property Record
Water Supply: ublic❑ Individ ❑Well
Evaluation Method:[]' Auger=�Borin�� Pit ❑ Cut
Type of Wastewater: �ySewage ustrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horimn
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
Salim
Class
.1944
Restr
Horiz
SyDi•
1,2-32V
S1--"
Spc�,sr P
Description Initial Repair System Other Factors (.1946):
System / Site Classification(ted B ):
Available Space(. 1945) Evaluated By: �!
System Type(s) 2 Others Present:
Site LTAR 1