IPACHTE# I ( _S 3�36t i Harnett County Department of Public Health 28839
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: aX 7735' iAn �oC�
ISSUED TO ? A+ CrLe /4Csra.p SUBDIVISION LOT #
NEW REPAIRS EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z,5',&
Projected Daily Flow: 3i. -o GPD
Number of bedrooms:— Number of Occupants:�a max
Basement ❑Yes M No 7
Pump Required: ❑Yes ❑ No C� MMaf/be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 0 Well Distance from well /66 /' het
Permit conditions:
Permit valid for.
La rive years
❑ No expiration
Authorized State Aden --_1
- -gin--� G /G'���� ,_,.b Date: i f (o SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health De�way guarantees the issuance of oder permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site o subject to revocation 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 .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: S� %�Y e- ay PROPERTY LOCATIONS 1733
SUBDIVISION LOT # 5—
Facility
Facility Type: New /Expansion El Repair
Basement? 11 Yes 9 No Basement Fixtures? El Yes Yes No
Type of Wastewater System" _45%6 t2S-At1' : 7S 171�6_(Initial) Wastewater Flow: _Ya GPD
(See note below, if applicable ❑)
�cr� tiSt� (Repair)
Installation Requirements/Conditions Number of tre�iches `4—
Septic Tank Size y loaO gallons Exact length of each trench �' o feet Trench Spacing: / Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. riches
Maximum Trench Depth of: ZO:� (A 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 TON vs. GPM inches below pipe
Conditions:
Aggregate Depth: Z inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFL FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type spec/bed it dillerent from the type spedled on the app/icadim. / accept the rpecihcadem o/ this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, pla4 or the intended use changes. The Construction Authorization shall not be transferred when there u a cheese 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 Agege t Date: `i— �� s
Construction Authorization Expiration Date: C - 20— Z I
HTE# 1ta-5-3S2S64 Permit # 288.35
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: b -x-- t -735- /L -4'o c -e— CN -Oa -c e+ 2D
ISSUED TO: �:�� /43�— i3vc(,G2� SUBDIVISION LOT # S
Authorized Statec!k;;- TTT /'! Date: H-20- 1(v
Ll -
j tt A c—��
D
i
52- (135' NI -rod— Gf 174)
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:
Address: Date Evaluated:
Proposed Facility: e/,_�> Design Flow (.1949):(
Location of Site: Property Recorded:
Water Supply: . - u Public❑ Individual ❑ Well
Evaluation Method: AugerBo ing ❑ 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
Mmendogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
L
u- (-dam
r'S wf
S.D
Z
L
�-
L
nusnfz
o -`I
c
�53kS✓�
30'(
3
• 3�
G-Gt
26..
2 S/
Description Initial Repair System Other Factors (.1946):
System Site Classification (.194ty4
Available Space(. 1945) Evaluated By'G.1
System T e(s) %1 - G Others Present: OI_,
Site LTAR