IPACHTE# /6- 5--38`-75 Harnett County Department of Public Health 28870
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:-&Jg7j /:5419 L'S4 6/Lw4G' /Cl)
ISSUED TOpht!c" SUBDIVISION LOT # —7—
NEW EK REPAIR ❑ EXPANSION ❑
Type of Structure: Sr—'115
Proposed Wastewater System Type: ZS'/�IZQ�vz PJ
Projected Daily Flow: Milo c GPD
Number of bedrooms:3 Number of Occupants: % max
Basement []Yes BAD
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes ❑ NoLN"_Maa%' be required b�d on final location and elevations of facilities
Type of Water Supply: El Community (Js Public Lef Well Distance from well / 6' feet
Permit conditions:
Permit valid for.
06ive years
❑ No expiration
Authorized State Agen : � Date: (o — / — ( (v SEE ATTACHED SITE SKETCH
The issuance of this permit bya Ith 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 revocanon it a 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 requirement 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 instilled in xcordam
with the attached system Mayou[ ,/�
ISSUED TO: C t o PROPERTY LOCATION:A q -Z-) f -6'G 12
nr
_/ SUBDIVISION LOT #
Facility Type: 5 � IR NewCj Expansion F-1Repair
Basement? 13Yes Lid No Basement Fixtures? ElYes No
Type of Wastewater System"' �"�c�'V 74ZIZ_ 553r41�_ (Initial) Wastewater Flow: �a GPD
(See note below, if applicable ❑)
215616 Z.b1U ce—W`.�t�z� (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 606 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 7o feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 7-4-> it inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil (aver: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
Inches below pipe
inches above pipe
L2 inches total
**If applicable: /understand the r,mem type scieuhed is different hom the type specified on the application. / acrept the speahinationr o/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 Construction Authorization shall not be transferred when there is a change in ownership of nye site. This
Constmaion 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 At AI IAIMhU lilt MtILM
Authorized State Age Date:
Construction Authorization Expiration Date: 1/ — / — Z/
HTE# 3 067S Permit # 78876
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: .5L.l t(277
ISSUED TO: c_� Q� � C l� SUBDIVISION LOT #
C, ��—� "�
Authorized State ent Date:
We(( /U67'/3F Yd /-QN�L'r- o" d,C NeA�) �- �!sysip� ,
Sz2 lNZ1 -"4os4- (,tiof jrD
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: ?6>JtA
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): 34O
Location of Site: Property Recorded:
Water Supply: [rublic❑ Individual ❑ Well
Evaluation Method:[3—Huger Boring ❑ Pit ❑ Cut
Type of Wastewater: —❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Stmcturet
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Salim
Class
.1944
Restr
Horiz
JL
r42
3c-�z
xc,
r^' ;>
--I—
� S --
Ir 7
L__ 3'q1
R
2B u 8
„+—
�-
4 4n -7
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): "Y�1'S
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
I Site LTAR _ r