IPACHTE# i,,r—g�;--38 of Harnett County Department of Public Health 28841
Improvement Permit
A building permit cannot be issued with only an Improvement Permit/ �
PROPERTY LOCATION /u
ISSUED TD wO�Ts C?aYSP4uui SUBDIVISION LOT #
NEW 9 REPAIR ❑ EXPANSION ❑
Type of Structure: SFi'�)
Proposed Wastewater System Type: Zoo �*�
Projected Daily Flow: Ce -0 GPD
Number of bedrooms: ;,3 Number of Occupants: max
Basement []Yes Iff No /11
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
W /be required )bi ed on final location and elevations of facilities
Ma
Public 10 Well Distance from well 1/001 feet
i
Permit valid for.
2 Five years
❑ No expiration
Authorized StateI s ,Anf T Date: `t L-1 — til, SEE ATTACHED SITE SKETCH
The issuance of this permit a Health 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 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
(Required for Building Permit)
The construction and installation requirements of Butes .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in ucordance
with the attached system layout
ISSUED T0: �a��� ��b�xu� Zw� PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: EEr New 4" Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Cdr No
Type of Wastewater System** Zf% (Initial) Wastewater Flow: 36 d GPD
(See note below, if applicable ❑)
Z�- 262�Yll(Repair)
Installation Requirements/Conditions Number of trenches z (3
Septic Tank Size w/0 a 6 gallons Exact length of each trench W: D 611-1116 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of Z )19 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions: 7 6 2 3 llr-scs Cay„, / L S!'
Trench Spacing: Feet on Center
Soil Cover. �nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. 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
Z
**If applicable: / ondeatand the system type specified it different horn the type spedfied on the application. /accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred 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 AIIALHED 111E SKETCH
Authorized State 41gent __ "% „- %" / "7�� __�' Date:
i Construction Authorization Expiration Date: Lt -u— 2/
NTE# Permit # 2 s�3 q j
Harnett County Department of Public Health
Site Sketch
A PROPERTY LOCATON:,;RJ9iS3 f4iAs✓�1 f�
ISSUED TO:,IVV � 5� a=�7n� a0lrsVrM,1 SUBDIVISION LOT #
Authorized State A nt: L R-r' Date:
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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: r.-.1� Date Evaluated: `['20'42'' lE6
Proposed Facility: I> Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply:- Q Public❑ Individual ❑ Well ❑ Spring
Evaluation Method: []/Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: [Sewage ❑ Industrial Process ❑ 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 IN.
.1956
Sapro
Class
.1944
Restr
Horiz
SL,
t�-•L6n��s�w
1A— s
3z-�a s•I
3
2
L
o[ 0
5L
t��6a, sIJ r
r8 -4Z
SC -Gr
"". n
t• 5."
. 3
Description Initial Repair System Other Factors (.1946):
System, / Site Classification (.1948)?15
Available Space(. 1945) Evaluated By:
System Type(s) S 2 Others Present:
Site LTAR 3