IPAC RNTE# -s— 38zyo,2 Harnett County Department of Public Health 28832
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION✓11I ','� /D13046rS C44e-1, %ID
ISSUED TO:."Cr �3yl//Y.� /� 01 S SUBDIVISION LOT #
NEW If REPAIR 0 EXPANSION Site Im�ents required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ZSOX 112Cb0C F7 tr'D
Projected Dail/ flow: --Y� GPD
Number of bedrooms: 13 Number of Occupants: max
Basement ❑Yes LO No
Pump Required: ❑Yes ❑ No Ei NjI be required based on final location and elevations of facilities
Type of Water Supply: ❑ Communityl5� Public ❑ Well Distance from well feet Permit valid for.Five years
Permit conditions: ❑ No expiration
Authorized State A)ln ��1�' - Date: �- / 3 - /lo SEE ATTACHED SITE SKETCH
The issuance of this permit th ealth Department in no wry guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requiremene. This
site is subject to revocation a 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 .1958, .1951, .1954, .1955, .1956, .1951, .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:Ke-X4-1- /3w floc -k BurVex.." PROPERTY LOCATION:�L[S6SOtr�t3uz c5 Gceolc
��ew
SUBDIVISIONLOT #Facility Type: J t� ❑ Expansion ❑ RepairBasement? ElYes No Basement Fixtures? Ies ❑ No
Type of Wastewater System** ? %iZZ-1*AvtLT1-c'D :SVsff. (Initial) Wastewater Flow: y as GPD
(See note below, if applicable ❑) '
2-5°1ILEnvti S FG (Repair)
Installation Requirements/Conditions Number of trencl'es z
Septic Tank Size 1006 gallons Exact length of each trench 1,70 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2K 153 inches
(french bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: / Feet on (enter
Soil (over:Inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: _ Z inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the r}rtem type rpec/6ed it different tram the type rpedfied on the application. / accept the spedf'cadanr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site pan, plat or the intended use changes. The Construction Authorization shall out be transferred when there is a change in ownership of the site. This
tonstructhon Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and on the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State ent: Date: t-( - t
Construction Authorization Expiration Date: K - t 3 /
NTE# J(o-s-3875Wr2.
Permit # 26632
Harnett County Department of Public Health
Site Sketch
? � �/ PROPERTY LOfATO
ISSUED T0: / ` �'�t l l�V��OGIfzo�=�r/iS SUBDIVISION
Authorized State
Date: y /3 /(.-
LOT # R_,�
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method:❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process ❑ Mixed
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 IN.
.1956
Sapro
Class
.1944
Restr
Horiz
47
(.7
J— c,
SL
3
L z�
zY
SL
'scN 6�
Description Initial Repair System Other Factors (.1946):
System Site Classification ):
Available Space (.1945) Evaluatedted By:
System Type(s) Others Present:
Site LTAR Y