IPACHTE# lio S'38fb5 Harnett County Department of Public Health 28812
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:.5�t./t/4fI i4TKryZ AfD
ISSUED TO: Ot-44.r3 r{ SUBDIVISION t LOT # C%
NEW ld REPAIR ❑ E ANSION Site Improvements requir d prior to Construction Authorization Issuance:
Type of Structure: 5
Proposed Wastewater System Type: Zs'% (Lf� tic t--e--
Projected Daily Flow. 3L0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement []Yes 0 No J%
Pump Required: es ❑ No E MM7be required based on final location and elevations of facilities
Type of Water Supply: El Community LK Public ❑ Well Distance from well feet Permit valid for. 53 Five years
Permit conditions: ❑ No expiration
Authorized State A� � /�(A&h a.nif Date: 3 'GS'/ (� SEE ATFACHED SITE SKETCH
The issuance of this permit by a Iib Department in no way guarantees the issuance of other permim The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it 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 o1 Rules .1950, .1951, .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: 1470z<L( AWA / z/a2a . Gt"'A PROPERTY LOCATION: ht/tft/P, 4TX-a A�A
6 f // SUBDIVISION /1MM..53 r/scG LOT # 9
Facility Type: 17 New P Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Eir No
Type of Wastewater System** _��'ny d -o >-5-"> IZ9'7JtSz Zn—_ (Initial) Wastewater Flow: j( d GPD
(See note below, if applicable ❑) v
22-2,;, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 10 O ° gallons Exact length of each trench �n feet
Pump Tank Size - o is, v gallons Trenches shall be installed on contour at a
Maximum Trench Depth of ZZ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. 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: 2 inches above pipe
/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 specified it d%rrnt from the type speciled on the application- / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization u subject to revocation if the site plan, plak or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Lonsmuction A chonzation is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit )tt 1111111.11U) 3111: Mt Il.n
/ //
Authorized State Age r: /tom Date: j 'Z s —I&
Construction Authorization Expiration Date: 7
HTE# l(,' S— Sul �,S Permit # 2 `�3 812
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: tsX//rlfl/iT�/LTrS
ISSUED TO: /70G,+/ SUBDIVISION /9>�Cu�S V ro LOT #
Authorized State Ag� �ih✓ Date: 3 —Z 3 - /G
G
LJ=—i+ Gui 1 5(��ee - po 75/&6
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Y
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: 'c7v� a"-3
Address: L Date Evaluated: 3'ZZYL
Proposed Facility: Design Flow (.1949): 3(Q d
Location of Site: Property Recorded:
Water Supply: [3'15ublic❑ Individual ❑ Well
Evaluation Method: aAuger Boring ❑ Pit Cl Cut
Type of Wastewater: Sewage ❑ 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
Wemess/
Color
.1943
Soil
Depth IPI.
.1956
Salim
Class
.1944
Resn
Horiz
!aG
2,3
L'
o- Li
SL
ac dot rom 0.0
2z-wB
sc-c,
�a .P.
yt3• s y
• �!
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): iin
Available Space (.1945) V. V Evaluated By: 1„
System T e(s Others Present: �' t'
Site LTAR . _e If