IPACHTE# &- 5--58'450, Harnett County Department of Public Health 28845
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
e PROPERTY LOCATION: �/yyg 19 �,c 46
ISSUED TO-"a/I�v,�,a/5/3iu�Gxc �9�o*�b SUBDIVISION T/CrnYS d( Cov LOT # 8
NEW lir REPAIR ❑ ExPAN9bN ❑ a Site Improvements required prSr to Construction Authorization Issuance:
Type of Structure: SFq�)
Proposed Wastewater System Type: 2%s RUt�ZtT�
Projected Daily Flow: Lf 80 GPD
Number of bedrooms: 4 Number of Occupants: max
Basement []Yes 1�f No
Pump Required: ❑Yes ❑ No f7 M 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. [R�Five years
Permit conditions: ❑ No expiration
Authorized State en i✓ /! / r /vim —Date: Lf —4*- t (o SEE ATTACHED SITE SKETCH
The issuance of this permit by Health Department in no way guar�n ees she issuanc of other permiu The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revoation � 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 Perm
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1956. 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: �t,/r� 124kA AVii PROPERTY LOCATION: ?�A—lggg M—LcZAS
Is SUBDIVISION C' LOT # 8
Facility Type: SFZ5 li NewExpansion ElRepair
❑ Lf
Basement? ❑ Yes No Basement Fixtures? Yes 'No
Type of Wastewater System** _25-0 j?�v)t)txZ b'_ (Initial) Wastewater Flow: _� GPD
(See note below, if applicable ❑)
2S�'/c i i—J 43 x (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 00 gallons Exact length of each trench 100 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 30 ')Ig inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing:` Feet on [enter
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.
E inches below pipe
2 inches above pipe
11— inches total
**If applicable: / understand the sXtem type spec/fled is different hum the type specified on the app/ication. / accept the rpech6cmimr of this permit
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 transferred when there is a change in ownership of the site. Thu
commission 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 Stt AI IACHtU Silt SKFICH
Authorized State Age t: Date:
Construction Authorization Expiration Date:
HTE# 1 5— 3 8 1 3 (P Permit # Z 8 8 X 5
Harnett County Department of 11�iblic Health
Site Sketch
PROPERTY LOCATON e/`fS
ISSUED TO:�Da�s l) rnJz' SUBDIVISION /A�iV� . 61:r_ LOT #
Authorized State Agent Date: y— Ze)—A.
5e
wyY� v1A4<,c c r
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:�(�t3
Address: Date Evaluated: 4 'Zs 4A,
Proposed Facility: 'S r-16 Design Flow (.1949): ti
Location of Site: Property Recorded:
Water Supply:�� [3'1ublic❑ Individual [I Well
Evaluation Method: El Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑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
Sapro
Class
.1944
Restr
Horiz
e
Li 1/0
z�-�es
tet,
i. �,cs P.
• Y
Wr�l4;
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): 5
Available Space (.1945) Evaluated By:
System Type(s) 13_�- Others Present:
Site LTAR