IPACNTE# /l7 -S — 38sby Harnett County Department of Public Health
28862
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION=--ILI3"I 39� 1
ISSUED TO: Ly 7 �e e v IT zNL SUBDIVISION 'Ond fey ?' i% LOT #
NEW f REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 30=0
Proposed Wastewater System Type: ZS%o f? J-4�>y
Projected Daily Flow: :SL- GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes EirNo�
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities �/
Type of Water Supply: El Community f3' Public ❑ Well Distance from well feet Permit valid for. Ld Five years
Permit conditions: ❑ No expiration
Authorized State nr.: e' Date: S —1 'l `- I L SEE ATTACHED SITE SKETCH
The issuance of this permi y Nealth Deparonto 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 if 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 Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 arc incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached systemlayout
ISSUED TOA" /OoC PROPERTY LOCATION: 5 a U
SUBDIVISION t LOT # Y /
Facility Type: 5 7b 52'/ New Expansion ❑ Repair T
Basement? ❑ Yes No Basement Fixtures? El C4 No
Type of Wastewater System** 25% 17P—b0LTIA1L.+25714S (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Conditions:
Trench Spacing: Feet on Center
Soil Cover. riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
4 inches below pipe
Aggregate Depth: 2 inches above pipe
/ 7 inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable: /understand the system type sperifed it different from the type cpedf'ed on the app/icatism / accept the .rpedRaiioar of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revontion if the site plan, plat or she intended use changes. The Conversation Authorization shall not be transferred when there is a change in ownership of the site. This
tonttruction Authorization is subject to compliance with the provisions of the laws and Rules far Sewage Treatment and Disposal and to the conditions of this permit )tt AI IAI.NtU lilt )RUIN
Authorized S ate: 5--I ") —/(0
Construction Authorization Expiration Date:
LFI--']
7.5`%l> (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size 1006
gallons
Exact length of each trench Ci0 feet
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: /A inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements:
ft. TDN vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
4 inches below pipe
Aggregate Depth: 2 inches above pipe
/ 7 inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable: /understand the system type sperifed it different from the type cpedf'ed on the app/icatism / accept the .rpedRaiioar of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revontion if the site plan, plat or she intended use changes. The Conversation Authorization shall not be transferred when there is a change in ownership of the site. This
tonttruction Authorization is subject to compliance with the provisions of the laws and Rules far Sewage Treatment and Disposal and to the conditions of this permit )tt AI IAI.NtU lilt )RUIN
Authorized S ate: 5--I ") —/(0
Construction Authorization Expiration Date:
HTE# I to - s — 3 �, S6 -i Permit # 1 9 `e 47
Harnett County Depailment of 1-�iblic Health
Site .ketch
PROPERTY LOCATONhc /N32
ISSUED T0: /111c11 fj�t �� J+ C SUBDIVISION
�/a?�is _%�o r Mc LOT #
Authorized State Ag Date: 9 t
I -14.S
I rzN6,1 eciox
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: Fv�
Address: Date Evaluated: S'1l'14i-�fv
Proposed Facility: S �7 Design Flow (.1949):3
Location of Site: ,.,/ Property Recorded:
2
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: ❑ Auger�Bo��r'ng a 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 J
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
T.31/2•
30 Z
3
3
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) i Evaluated B >_
System T e(s ZS^`Zr Z. 7 _ l Others Present:
Site LTAR S