IPACHTE#11ly—a� --3810 % Harnett County Department of Public Health 28805
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: &L • I N1 X ,044�.� tC- JZZA� /ZZ
ISSUED TOr/&,dalll V'7M- a ,.,a 134;6enrc. SUBDIVISION LOT #
NEW I REPAIR ❑ 4EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1"7a4
Proposed Wastewater System ype: 1;-%.-2,,
Projected Daily Flow: JDo GPD 4 ya l LaydaeS
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 9 No
Pump Required: ❑Yes ❑ No 9111ay be required based an final location and elevations of facilities
Type of Water Supply: ❑ Community d Public ❑ Well Distance from well feet Permit valid for. P/Five years
Permit conditions: ❑ No expiration
Authorized State Agent:-,' , >L_��I� amt GT ! Date: 4 — '5--- 1 b SEE ATTACHED SITE SKETCH
The issuance of this permitth/ Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate goveming bodies in mewing their requirements. This
site is subject to revoation d 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..
Construction Authorization
Reauired for Building Permit
The construction and installation requirements of Rules .1958, .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
ISSUED TO: l PROPERTY LOCATION: 50 W8 644 F- - 4,6
SUBDIVISION LOT #
Facility Type: 15
13 4 New Expansion El Repair
Basement? 1-1YesNo Basemel Fixtures? ❑ Yes E�%
Type of Wastewater System** Z5"/otU�uv��F�
(See note below, if applicable ❑)
Os'dU I %tr9rz,— (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size —/B10-6 gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: L 4 inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: (t. TDM vs. GPM
Conditions:
(Initial) Wastewater Flow: /Oy GPD
Trench Spacing: �— Feet on Center
Soil Cover. S— inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IDFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
Z inches above pipe
/ Z inches total
**If applicable: / undeatand the system type specified ii different hom the type speaTled on the application. / accept the tpenficationi of this peimit.
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 he 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 5[C MIAMI.! NIC SRC II.n
/—,.
Authorized State Agr.��r��---5 = ���/1,�,%La-.-C�r' Date: cl- S - 14
�, Construction Authorization Expiration Date: 4 - f-- z/
HTE# Ile- SS_38/V Permit # Z8o OS�
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON:,F2Z1Y/ GI�It/7d1�F i7zu�.�.YL1�
ISSUED TO: SUBDIVISION LOT #
1 _
Authorized State en�: f Date:
5,z )yia o4Kjz�z6a �fvbg ZD
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: V�`�"""�
Address: .� Date Evaluated: 3-8-16
Proposed Facility: �^'"`�sh' t Design Flow (.1949):
Location of Site:,.,� Property Recorded:
Water Supply: U Public❑ Individual ❑ Well
Evaluation Method: ❑-ager 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
3
L,336
0- 30
3L
(woe n
so �
xL
"_
" 7�
Y
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated B
System Type(s) Others Present:
Site LTAR Y