IPACHTE#-5-3`3Harnett County Department of Public Health 28826
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONBX—Jci r K S tZD
ISSUED TO U�C3 � � �xtru D SUBDIVISION _ AVAnX-4-'J ✓lt� LOT #
NEW f9 REPAIR ❑ EXPANSION ❑ r— Site Improvements required prio to Construction Authorization Issuance:
Type of Structure: S
Proposed Wastewater System Type:
Projected Daily Flow:
Number of bedrooms: 3 Number of Occupants: max
Basement ❑YesNo
Pump Required: ❑Yes ❑ No Ma a required based on final location and elevations of facilities
Type of Water Supply: 11Community public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State ¢gelir: /' Date: 14 --1 —f (e SEE ATTACHED SITE SKETCH
The issuance of this permit qr thp�flealth 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 revoam 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
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 arc incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED T0PROPERTY LOCATION: 71-131'19 �✓+JI /Z�
'SUBDIVISION , /X+ $ /&'6/9r o LOT # �=
Facility Type: S� r9 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes D40
Type of Wastewater System** Z'ss:lu i2yt-rc„� �5 — (Initial) Wastewater Flow: 3 C GPD
(See note below, if applicable ❑)
2-5%%�jPsxlUU�v'—S sF+2— (Repair)
Installation Requirements/Conditions Number of trent es 3
Septic Tank Sizei D_ I D a gallons Exact length of each trench a` a feet Trench Spacing: 7 Feet on Center
Pump Tank Size a gallons Trenches shall be installed on contour at a Soil (over: 4� inches
Maximum Trench Depth of: Zq inches
(Trench bottoms shall be level to +1-1/4"
in all directions)
Pump Requirements: ft TON vs. GPM
Conditions:
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
Z/' inches above pipe
— inches total
**If applicable, / understand the ryrtem type rpedled its different hum the type rpedled on the application. / accept the rpedlcationr 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 who there a a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the lam and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized Stat Lent.
Date:
Construction Authorization Expiration Date:
SEE ATTACHED SITE SKETCH
HTE# A —S —383UO
Permit # % Y8Z
Harnett County Department of Public Health
Site Sketch
� PROPERTY LOCATON: ZW 1((1(/ 42 /PlfT�✓S /2A
ISSUED T0: �44,1 (%4f(s l�i> t �i�t1UP SUBDIVISION LOT #
Authorized State 4/{r✓� Date: y— 7 — / (,,
tpM % Vi11"Tji U-11-1
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: (Zvr�'L ...__4 __ L
Address: Date Evaluated: 'YT
Proposed Facility: <r4 -p Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ITPublic❑ Individual ElWell
Evaluation Method: D-) uger Boring ❑ Pit ❑ Cut
Type of Wastewater: 11 --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
Wetness/
Color
.1943
Soil
Depth W.
.1956
Sapro
Class
.1944
Restr
Horiz
I ,Z
4s7
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): frS
Available Space (.1945) Evaluated By:
System T e(s Others Present:
Site LTAR ^t