IPACHTE# - - 38'J Harnett County Department of Public Health
28833
hDrovement Permit
A building permit cannot be issued with only an ImRrovement Permit
PROPERTY LOCATIONS7�/Y/„'8 /7LVc!_
ISSUED TO:, WcA-L� H-tT , SUBDIVISION IVL N //Lrb, k LOT #
NEW 19' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5F -b �
Proposed Wastewater System Type: Z!5? ! �V®r
Projected Daily Flow: _75 GPD
Number of bedrooms: 0 Number of Occupants: max
Basement []Yes LSO No
Pump Required: ❑Yes ❑ No fMa be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community f Public ❑ Well Distance from well feet Permit valid for. ❑ Five years
Permit conditions: ❑ No expiration
Authorized State Alight: c' t1 > h iy-x Date: `1- /3- / U SEE ATTACHED SITE SKETCH
The issuance of this permit by v.�nealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revoation if the site pian, 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 rompliana with the Provinces of
the taws 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, .19S4, .1955, .1956, .1957, .1958. and .1959 are incorporated by references mm this permit and shall be met. Systems shall be installed in accordana
with the attached system layout
ISSUED TO: PeAv-CA_ PROPERTY LOCATION:34/y t S rZ7,J 6-2. +�
SUBDIVISION LOT # 3
Facility Type: li New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2%o
Type of Wastewater System'* (Initial) Wastewater Flow: 3L)O GPD
(See note below, if applicable ❑)
%vr`%�f�3i)1>GUu/t (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank SizeD/ Ub gallons Exact length of each trench 15 d 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: 7-7 3 / Qi 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: ft. TDH vs. GPM G inches below pipe
Aggregate Depth: �— inches above pipe
Conditions: /7. 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: / nndeatand the spem type spedfed is different from the type specifed ou the app/iatiom / accept the sperifcadonr of this pemlit
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 tmnslerred 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 )tt Ah IAI.ntD lel l t =11.11
Authorized State Ags�t f L ni Date: 'Y — i 3
71/Construction Authorization Expiration Date:
HTE# Mo—S--'59339 Permit # Z $X33
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: St- Iq1$ !Zt rcn.l�
ISSUED TO: �. P/11/P.( � G SUBDIVISION 2/+J�J_LOT #
Authorized State
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SO►LSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: P�
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑Public❑ Individual ❑ Well
Evaluation Method: []-Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: .e 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
Structures
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
U— Y*L
SIC -� 1
rt.lti- N S
1614 Zr &1
.3
Description Initial Repair System Other Factors (.1946):
System _ Site Classification (.1948).
Available Space (.1945) v Evaluated By:
System Type(s) a Others Present: r'
Site LTAR