IPACHTE# / &-5- 3�SU6 Harnett County Department of Public Health 28850
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
\�� Kr / C _ �� PROPERTY LOCATION:zJZ/`131 13,24L)T,✓ /ZD
ISSUED T0; 1Z) 5 SUBDIVISION U e vy a ._)s LOT #
NEW EV/ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sr_
Proposed Wastewater System Ty e: 2`5% T�ULT"CO'�i
Projected Daily Flow: 39 O GPD
Number of bedrooms: '� Number of Occupants: _max
Basement []Yes lJ No //
Pump Required: []YesElNo 17" May be required hosed on final location and elevations of facilities /
Type of Water Supply: ❑ Community ❑ Public 3 Well Distance from well / o - ' feet Permit valid for. ❑v Five years
Permit conditions:
❑ No expiration
Authorized State ens Q� / — Date: 5__6 _ /L SEE ATTACHED SITE SKETCH
The issuance of this permit h[ the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible (or checking with appropriate governing bodies in meeting their requirements. This
site is subject to revou0on 4Nhe 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 .1950, .1952, .1954, .1955, .1956, .1951, .1950. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in atcorduce
with the attached system layout,
ISSUED TO: 27/Z4K6_ ,1{OyYcc S PROPERTY LOCATION: _X19,3/
1 SUBDIVISION D4aTc--- LOT #
Facility Type: M New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ANO
Type of Wastewater System** '!�/ 2r' �-1 a Vt4 yrs f_Q3 — (Initial) Wastewater Flow: 7 ' GPD
(See note below, if applicable ❑)
�vA : ot1 Z'50% PAL] 147u2�) (Repair)
Installation Requirements/Cooditionny Number of trenches L
Septic Tank Size0J! OO gallons
Pump Tank Size gallons
Exact length of each trench CSo' feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: ZZ—:'(A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: h. TDH vs. GPM
n Aggregate Depth:
Conditions: �o vA Ly 0 tl 21 rime -t'.1 _. 7-c� .0 &--, k o
J tA—1
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM AY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
o inches below pipe
Z inches above pipe
/Z inches total
**If applicable: / indeatand the system type specified it diHereot from the type specified on the app/iciion. / accept the specification of this permit
Owner/Legal Representative Signature: Date:
This construction Authoriudon 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. This
tonstruchon Authorization is subject to compliance with the provisions of the Laws and Rules tar Sewage treatment and Unposal and to the conditions of this permit xtt nl IA.II[V Jllt aRtlln
J
Authorized State rat:" / y �' / " Date:
Construction Authorization Expiration Date:
HTE# I�-"-5-" 3'5S'6 Permit # GS�SC)
Harnett County Department of Public Health
Site Sketch
Z�r�K� Hf PROPERTY LOCATON -SJQ MS I j /t�+�l
ISSUED TO: On^ f S SUBDIVISION T LOT #
Authorized State AHr.fl#f�� /^� Date:
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: S�- 3 • /-b
Proposed Facility: Design Flow (.1949):'31L6
Location of Site: Property Recorded:
Water Supply: [2Public❑ Individual ❑ 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
p
.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 W.
.1956
Sapro
Class
.1944
Rear
Horiz
1,2.4
L
Z""I"6
fc_cr
tb.P
44-��9•I
c�
m . 3
U>w
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Type(s) Ste' Others Present:
Site LTAR i5��