IPACHTE# —S—.3BZ.-72— Harnett County Department of Public Health 28822
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONS /'YzCv 63
ISSUED T at C_ SUBDIVISION LOT #
NEW REPAIR ❑S� EXPANSION ❑
Type of Structure: c
Proposed Wastewater System Ty e: 2fifie, !
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: _max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑Yes 0 IN
Pump Required: ❑Yes ❑ No ICJ M e required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
PJ Five years
❑ No expiration
Authorized State Aefit, Date: `f—& —/ (,- SEE ATTACHED SITE SKETCH
the issuance of this permit by th e th Department in no way guarantees the issuance of other permiu. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if "e 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
squired for Building Permit)
The construction and installation requirements of Rules .1950, .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: ��%%� i�yt�� 5 SSC PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: 5{d� Rl'�New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Mko
Type of Wastewater System** Zia (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑}?
�a.,-.,., A5
Installation Re uirements/Conditi n Number of trenches �—
Septic Tank Size b O gallons Ezact length of each trench /66 feet Trench Spacing / Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: — Z—:::Jnches
Maximum Trench Depth of: Z -2/f; 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
Conditions:
inches below pipe
Aggregate Depth: G inches above pipe
!Z— inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l understand the system type specified /s different from the type specified on the application. l accept the speahcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revomums if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when then 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 SEE ATTACHED SITE SKETCH
Authorized State�gentL �i9�✓/�n Date: y --z".
Construction Authorization Expiration Date: 1—Zs —L/
HTE# A 5:-30-272— Permit Permit # Z8RZz
Harnett County Department of Public Health
Site Sketch
ISSUED TO: S'E�N s�J r� PROPERTY LISION :
r��iCS -�^�c. SUBDIVISIOfN% LOT #
Authorized State Ag 0 T� " Date:
i
i W
�QW
yob
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 3770014 --
Address: Date Evaluated:'-/-`! G1'
Proposed Facility: Design Flow (.1949): j�44:i
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:[f Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 8-8ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1 .1940
L Landscape
E Position/
# Slope%
Horizon
Depth
(in J
SOIL MORPHOLOGY
1.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
D th IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Z
L - 10
S
(t1
S /D
fc�
0Y YO
SGC
2 -'PL
-c r
X038
• 3
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948)5
Available Space .1945 Evaluated By: Y
System Type(s)) Others Present:
Site LTAR