IPACHTE# '3 SZ22 Harnett County Department of Public Health 28813
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
9� PROPERTY LOCATION<51 /77 , 7�+ f� %� 9 �f!_7' S 7 2¢ 71
ISSUED T ✓ ,5721�V� T j;Y-z14U/J SUBDIVISION LOT #
NEW f REPAIR ❑ EXPANSION ❑
Type of Structure: 5 F-1'�
Proposed Wastewater System Type: (Z-eTJt�
Projected Daily Flow: 72�(�Z GPD
Number of bedrooms: "11— Number of Occupants: 6 max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑Yes No
Pump Required: ❑Yes ❑ No C'Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 7Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
[�(Five years
❑ No expiration
Authorized StateAgent: L Date: 5 -2N - I6. SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in no way 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 to revocation 9 the site plan, pias, 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 constmction and instigation requirement of Rules .1958, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are inurporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: S vc/tom 7— PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: cU— /) Li New ❑ Expansion ❑ Repair
Basement? ❑ Yes E� No Basement Fixtures? ❑ Yes G3 No
Type of Wastewater System" 25%d ; C1 (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
s %1 (Repair)
Installation Requirements/Conditions Number of trene tes I
Septic Tank Size /DO 0 gallons Exact length of each trench 15 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: I— inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TON vs. GPM inches below pipe
A$Bregate Depth: TTL inches above pipe
Conditions: ND G>�-+?rL D7p FoLtoe r ZiJ �fjo!+'c >< nc�. 1 �/YL�-S /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 is different from the type specified on the app/iation. / accept the rpecilcationc of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoation 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. ILL AI IALHILD Slit SKtILH
Authorized State Agent: _ ��� 5����l /ua� Date: 3 !Z -`f �6
Construction Authorization Expiration Date: 3 -Zy-7
HTE# 3 $22'L
Harnett County
Permit # 2 `3 S f
Department of Public Health
Site Sketch
PROPERTY LOCATON:;f)q 1-7 -7 Lf
� �T iFiGlu�-� STlP�✓
ISSUED TO: SUBDIVISION LOT #
Authorized State Ag lo /�/F� i� -� A — -- Date: 3 - Z4 - I
M
`V
S!L /77 y MAe,-,6-T,S%
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: (4E'
Address: DakEvaluated: 3
Proposed Facility: Facility: 1 eFt) Design Flow (.1949):3��
Location of Site: Property Recorded:
Water Supply: U public❑ Individual ❑ Well
Evaluation Method:❑YAuger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑'gewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941-
Structure/
Texture
1941
Consistence
Mineralo
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
4-4o
SG -fit
w
D.
,
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
S stem T e(s) Others Present:
Site LTAR