IPACHTE#T(.�bt{ Harnett County Department of Public Health
28868
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION: Zi ZOO S R lLl c/.CfhI ; VI Zb
ISSUED TO• ��] It SUBDIVISION Go 41 e,-jdzn, �* �' LOT # —4—_
NEW REPAIR 11XPANSION 11Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: zrzT�
Proposed Wastewater System Type: Zf',l f7/?4a...&A-7. —_
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement Dyes All
Pump Required: ❑Yes ❑ No Q M be required based on final location and elevations of facilities
Type of Water Supply: El Community f7Public ❑ Well Distance from well feet Permit valid for. Fes/five years
Permit conditions: ❑ No expiration
Authorized State /' Date: S —1'1 'I C. SEE ATTACHED SITE SKETCH
The issuance of this permit a 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 to revocation if the site Oak 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 are incorporated by references into this permit and shall be meL Systems shall be installed in accordance
with the attached system layouts
ISSUED TO: A44 -"Lk I7lLq!s A- PROPERTY LOCATION:Z-A—WO S ISL; UAyIZU, I`ZJ�!)
IF �� SUBDIVISION Cc N lc -Y 4,, Gia Ise LOT #
Facility Type: —S `� Lsf NewExpansion F-1Repair
Basement? ElYes No Basement Fixtures? F-1YesLK No
Type of Wastewater System"" ii'2rty u csrZfL �S. (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
Z'55016 (Repair)
Installation Requirements/Conditions Number of trend es Z
Septic Tank Size 16410 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 1190 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 2z4 - I S inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. _49, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
4 inches below pipe
_Z inches above pipe
/7 inches total
**If applicable: / undetrtand the system type speciffed it different from the type specified on the application. / accept the rpecilcatianr 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 (omtuction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authonzation is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI IAI.ntU lilt )/stun
Authorized State rat„/ Date: Sr --Z4 96
Construction Authorization Expiration Date: t— Z4 — �
HTE# 16— 'cS— 38co6L( Permit # 2 e&b!8
Harnett County Department of Pnblie Health
Site Sketeh
PROPERTY LOCATON: (?—i�
ISSUED TO: I ' _ I�.t �t t�� SUBDIVISION C fi
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: S- ,
Address:Date Evaluated: S
Proposed Facility: 5-t�D Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: [Public❑ Individual ❑ Well
Evaluation Method: El mer Boring ❑ Pit ❑ Cut
Type of Wastewater: __Lj 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
I � Z
L3•S1
S�
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): �S
Available Space(. 1945) Evaluated By:
System Type(s) Others Present: — y
Site LTAR