IPACHTE# J6 -E: -38-3e'2 Harnett County Department of Public Health 28858
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
� PROPERTY LOCATION== I ( Ctl Eoa =L� w.- ✓LA
ISSUED TO- C70na", �-� � vL SUBDIVISION r �, �- LOT # �L
NEW i] - IR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5F r7
Proposed Wastewater System T e: 0-5"ie, T xs,..i
Projected Daily Flow: GPD //
Number of bedrooms: Number of Occupants: y. _max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ❑ 1`17 -he required based on final location and elevations of facilities
Type of Water Supply: I-]CommunityLei" Public ❑ Well Distance from well feet Permit valid for. 2Five years
Permit conditions: ❑ No expiration
Authorized Sta gent: G /,' taa A g!!a 4 Date: 5 y` -6L. SEE ATTACHED SITE SKETCH
The issuance of this permit t 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 m revoatio the site pla , 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 m compliance with the provisions of
the Caws 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 .1958, AM, .1954, .1955, .1956, .1957, .1958. and .1959 arc incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout ,,//����pp
ISSUED TO: t Anw� `y`�",L PROPERTY LOCATION: —4c1Y /ZA
SUBDIVISION- lam, LOT
Facility Type: .5�� G1New Expansion El Repair
Basement? ElYes No Basement Fixtures? ❑ Yes L1 No
Type of Wastewater System** 7 S'2- fZsaclZ ZaKa (Initial) Wastewater Flow: 3L 0 GPD
(See note below, if applicable ❑)
,�- � (Repair)
Installation Requirements/Conditions Number o trenches 2
Septic Tank Size f 0 6Q gallons Exact length of each trench I S`O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2y-7 F $ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: _7 Feet on Center
Soil Cover. 9 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
!<_ inches below pipe
Aggregate Depth: Z inches above pipe
/a- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If aopljable: / underrtand the ryrtem type rperilied it diNerent !rota the type rpeu6eJ an the app/iration. l accept the rperi6ratianr of this permit
Owner/Legal Representative Signature: Date:
This Consnmon Authorization is subject to revocation if the site plan, plat or the intended we 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 Caws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized Sta ent: Date: '5--1& — /b
Construction Authorization Expiration Date:
HTE#//� 5 - 3834FZ
Harnett County
Permit # 2 to 5 e
Dehai nient of Public Health
Site Sketch
PROPERTY LOCATON:r-79t,JVV
ISSUED TO: ��- `[a�a� /�w � + c SUBDIVISION 1 LOT # 5-1
Authorized State gent: L Date:
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: Q
Proposed Facility: Design Flow (.1949)7: ,
Location of Site: Property Recorded:
Water Supply:-Pa"blic❑ Individual ❑ Well
Evaluation Method uger oring ❑ Pit ❑ Cut
Type of Wastewater:(((((( --age ❑Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(in.)
SOH, MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapm
Class
.1944
Restr
Honz
tL
irY
d to
%L
k
�r
-f Z S`i 3 • �
3L3`6 �
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d
(
xyy
eh
SL
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By: ��
System Type(s) ? — Others Present:
Site LTAR . 3