IPACHTE# S- 3BI(g Harnett County Department of Public Health 28811
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
q PROPERTY LOCATION ri s a15 R�
ISSUED TO/: / OR%5 c atyl SUBDIVISION t�%%l�iA� S I r «c 2 LOT # 3
NEW C�" REPAIR ❑ EAPANSIO ❑ Site Improvements requireprior to Construction Authodzafion Issuance:
Type of Structure: '5FL->
Proposed Wastewater System Type: 715
Projected Daily Flow: GPD
Number of bedrooms: —47 Cf Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ No CI May� be required based on final location and elevations of facilities
El Community f3 Public ❑ Well Distance from well feet
Permit valid for.
Q' five years
❑ No expiration
Authorized Stateent:: "I ItAJ P -.: Date: 5 —Z-5 —1 fo SEE ATTACHED SITE SKETCH
The issuance of this permit th Health Department in no wa guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject te revocatio ' the sire plan, plat or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This pennit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of phis permit.
Construction Authorization
(Required for Building Permjtt
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 77�� --11/
ISSUED TO: &,4,1cJ�Ks ✓>(Jr�cQi -s t F PROPERTY LOCATION: di'MI19 /97* s %� D
SUBDIVISION /4-TK1/JS l�.✓GGry-c O LOT # 3
Facility Type: S 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Q No
Type of Wastewater System** 25% 7Z'DU "7f&-2,) giant rte_ (Initial) Wastewater Flow: i 8 0 GPD
(See note below, if applicable ❑)
7-5% i ZA'XC Repair)
Installation Requirements/Conditions Number of trent es ti
Septic Tank Size l oc, o gallons Exact length of each trench feet
Pump Tank Size /000 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z `i inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: / Feet on Center
Soil Cover. lij inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
P inches below pipe
Z— inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type speahed on the app/icarden. / accept the rpealcaGonr 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 Stt AI IALHtO Silt MILM
Authorized State nt: :�v�-�—� �/4a.,MRv. Date: 3b
Construction Authorization Expiration Date: 3 --23 71
NTE# 1L—S— SSIGI Permit # ZBgI I
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEAT(
ISSUED T0: �I dAlkf &&jQA c 644-vm SUBDIVISION
Authorized State A� �^ —�� G _���R zJ� Date: 3 Z3 —
Ihlo
LOT # 5
ftf v;G05 , t
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: ) ✓l•� j, r
Address: Date Evaluated:
Proposed Facility: Design Flow (. 1949YOQ
Location of Site: ,�/ Property Recorded:
Water Supply: ,�� CIPublic❑ Individual ❑ Well
Evaluation Method: L_I Auger Bio ��g ❑ Pit ❑ Cut
Type of Wastewater: [J Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
SlopeY
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
12 3
L 3�
6 36
3L
/2C-ILA)5N4
Description Initial Repair System Other Factors (.1946):
System Z Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System T e(s Others Present: '-�/s/�✓
Site LTAR I t