IPACHTE#/(Q S 3d7s2q Harnett County Department of Public Health 28855
Imarovement Permit
A building permit cannot be issued with only an Improvemenn�ermit
PROPERTY LOCATION iS)Z ILL //Lr AA
ISSUED TO'' /�JSQU!. SUBDIVISION ��9. �y x.ra avk 1AJ"_ /i.� � 6 LOT #
NEW I� REPAIR El EXPANSION ❑ Site Improvements required prior to onstmction Authorization Issuance:
Type of Structure: cS
Proposed Wastewater System' Type:
Projected Daily Flow: _D[90 GPD
Number of bedrooms: vJ Number of Occupants: _max
Basement ❑Yes �EVNo
Pump Required: CvlTes ❑ No ❑ Maybe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community EV Public ❑ Well Distance from well feet Permit valid for. Ive years
Permit conditions: ❑ No expiration
Authorized State A u Date: "/��/!o SEE ATTACHED SITE SKETCH
The issuance of this permit bylele .ealth Department in no way guarantees the issuance of o er permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements- This
site is subject to revocation 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 Trearnent and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The constractios and installation requirements of Rules .1950, .1952, .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 layout
ISSUED TO�— Ay_�eLn r 1 a / PROPERTY LOCATION: 5T 44
SUBDIVISION LOT # —
Facility Type: S 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**�tla..ow 9.5��LT2$A�V (1Z ec�� G (Initial) Wastewater Flow: 16 0 GPD
(See note below, if applicable 171
u a --r �e 2a �n��V c.TsZu�Repair)
Installation Requirements/Conditions Number of trenches �
Septic Tank Size /b� gallons Exact length of each tren_ch Z O feet Trench Spacing Feet on Center
Pump Tank Size �/ Do d gallons Trenches shall be installed on contour ata Soil Cover. inches
Maximum Trench Depth of. Lb —> ) $ inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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.
Y inches below pipe
Z inches above pipe
inches total
**If applicable: / understand the system type specified it different hum the type specified on the app/icadoa / accept the rpecifb ons o/ thir permit
Owner/Legal Representative Signature: Date:
This Construction Authorization u 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 un. This
Lanstmcmon 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. ILL AI IALHLD SIZE SKLTLH
Authorized State Agell!��e-04Date:
Construction Authorization Expiration Date: —yam
HTE# - 5^ 3gsZ 9
Permit # 2 SS 5 5
Harnett County Department of 11�ihlic Health
Site Sketch
PROPERTY LOEATON:-Ze-/ Y3s /CA
ISSUED TO: SUBDIVISION LOT # _
Authorized State ei .v Date:
�pxljtS Cf
Al-- t\-> vz
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 fl.rl�
Address: Date Evaluated: 5 ")
Proposed Facility: -,40-T5 Design Flow (.1949): 3"
Location of Site: ,.,� Property Recorded:
U
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:❑,Auer 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
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mincialogy
.1942
Soil
Wetness/
Color
.1943
Soil
th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
3
st-
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948): Z51
Available S ace (.1945) Evaluated By:
S stem T e(s) f'1+ Others Present:
Site LTAR • y