IPACHTE#Jl, b —38$58 Harnett County Department of Public Health 28887
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION/705
ISSUED TO- ��c Q SUBDIVISION �r C,A LOT # ZO
NEW (�d" REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:-(
Proposed Wastewater System Type: 95 No r?0'DVC
Projected Daily Flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: _max
Basement ❑Yes
Pump Required: ❑Yes ❑ NoCM be required based on final location and elevations of facilities —/
Type of Water Supply: El Community Public 1-1WellDistance from well feet Permit valid for. E Five years
Permit conditions: ❑ No expiration
Authorized State er _ Date: (c, 2'2 —! � SEE ATTACHED SITE SKETCH
The issuana of this permit b ealth 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 Ke 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, .1951, .1954, .1955, .1956, .1951, .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 T0: �4..+CQk1/I/ �n itfasa._ PROPERTY LOCATION:e3� TosO//jog a,>, �,ces,,1 e:212 ��1
�/ SUBDIVISION LrsE%J LOT # ZD
Facility Type: �7 L�7New EIExpansion 11epair
Basement? 1-1YesNo Basement Fixtures? ❑ Yes No
Type of Wastewater System" Z5 % Z-Qs7U CX74�� S�s ic-� (Initial) Wastewater Flow: �31,or-> GPD
(See note below, if applicable ❑) "
ZS"lr,ftA-boy-'—L4 L (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size --r/006 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench /2-0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Ly inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
-T inches above pipe
/ z--- inches total
`*If applicable: / undelytand the ryttem type rpeciled is d0rent from the type rpedf'ed on the app/icadon. / accept /he rpeafcationr of thin 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 he transferred when there is a change in owmohip of the site. This
Construction 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 111IllttltU lilt =11.11
Authorized State Date: L zZ —[ �.
Construction Authorization Expiration Date: 4
HTE# s-3 B OS Q Permit # Z S&S 2
Harnett County Department of Public Health
Site Sketch
;� \ 1"t—E r_ PROPERTY LOEATON:33xt7OS Dt A r�
e�Zg4rtlA & ✓�%
ISSUED TO: ��7 n t I WA,-� SUBDIVISION L =g -,.I, L,*,z o f 0 LOT # ZO
Authorized State
<i
13
S
Date: 6 —LZ --1&
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
I7tU
Owner:
Address:
Applicant:
Date Evaluated: �"' Zo io
Proposed Facility:
'a'��� Design Flow (.1949): s
Location of Site:
Water Supply:
Property Recorded:
I_7Puulic❑ Individual ❑ Well
Evaluation Method:❑mer 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
Mineralogy
.1942
Soil
Wetness/
Color—Depth
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Restr
Horiz
L
9 4e -
Description Initial Repair System Other Factors (.1946):
System X Site Classification (.1948): F5
Available Space(. 1945) Evaluated By:
S stemT s Others Present: 457—
Site LTAR .y