IPACHTE# ((10-5- 3039 i Harnett County Department of Public Health 28838
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ee PROPERTY LOCATION:SP, 1�3s'/�h ,a r o
ISSUED TO:, SUBDIVISION LOT #
NEW 9 REPAIR ❑ EXPANSION ❑
Type of Structure:
Proposed Wastewater System Type: ZT� 2s�slu�szc�—
Projected Daily Flow: 241> GPD
Number of bedrooms: 2 Number of Occupants: y max
Basement []Yes EN No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No f3 May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community O Public Ev( Well Distance from well 106 v'r feet
Permit Conditions:
Permit valid for.
Give years
❑ No expiration
Authorized State Agent. > Date: t - LD -/ SEE ATTACHED SITE SKETCH
The issuance of this permit by yAealth 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 revocatio awe 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
l
The construction and installation requirements of Rules .1950, .1951, .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 hywtD
ISSUED TO: c�A�� PROPERTY LOCATION5lt735;�,�urf�
/ SUBDIVISION LOT # `ice
Facility Type: C3 New Expansion ElRepair
Basement? El Yes No Basement Fixtures? ❑ Yes Ld No
Type of Wastewater System** ZS"L FLS- C%"Y-s�-� oz.s i -p-- (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions Number of trenches-
/ 9``9;pS c�
Septic Tank Size / b ° O gallons Exact length of each trench 6 deet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Soil Cover. inches
(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
12- inches total
**If applicable: / understand the system type specified it different from the type specified fro the application. / acmpt the specification of this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to, revocation if the site plan, plan, or the intended use changes. The construction Authorization shall not be transfemd 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 SEE ATTACHED SITE SKETCH
Authorized State Date: Zo
Construction Alit horization Expiration Date: el— zv— z/
HTE# 5031)(
Harnett County
Permit #
Z&838
Department of 1'nblic Health
Site Sketch
PROPERTY Loam: Jt 17 /7-�)
ISSUED TO: Z SUBDIVISION LOT # VI
Authorized State Ageat _/ �p P�
f q� `i — 2 o- I L
Date:
v
F-' TN'
a
i
3�C1
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: 5r--6 Design Flow (.1949): 3�y d
Location of Site: ,_,,� Property Recorded:
E
Water Supply: t•ublic❑ Individual ❑ Well
Evaluation Method:[] ager BBor�' g ❑ Pit ❑ Cut
Type of Wastewater: Lf 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapm
Class
.1944
Restr
Horiz
I
SM=
L
o - s
L
61Z &':1A
r 40
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31,
,
2
L f9
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6.N N3iuP
y Y�
SC -c.
I�IgK S.
3o-32 s3 1
1
Z-28° 59
6 '1
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Description Initial Repair System Other Factors (1946):
System Site Classification (.1948).
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR S�