IPACHTE#=�3 Harnett County Department of Public Health 28893
Improvement Permit
A building permit cannot be issued with only an Improvement P__ertpp't �
PROPERTY LOCATIOR-X W C:fca�r
ISSUED TO: .J Ci is �f e ATL SUBDIVISION _ LOT #
NEW ETA REPAIR 11 EXPANSION ❑ Site Impro ents required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Tpe:
Projected Daily Flow: ' SCAO GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes No
Pump Required: es ❑ No ❑ Ma required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well het Permit valid for. aFire years
Permit conditions: ❑ No expiration
Authorized Stat Date: (—s --2S— f (� SEE ATTACHED SITE SKETCH
The issuance of this permit heahh Department in no way guarantees the issuance of other permits. The permit holder is responsible [or 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 pcovoions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The conswttion and installation requirements of Rules .1950, .1951, .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 TO4+w 4 z PROPERTY LOCATIO •7:•L
SION LOT #
Facility Type: ��> IS4 Hew
xpansion ❑ Repair
Basement? ❑ Yes 11K No Basement Fixtures? ❑ Yes No
Type of Wastewater System" 22W f&krX.A-Liri— ST,S �— (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) 1 /
(Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size 6 a 6 gallons Exact length of each trench IS'o feet
Pump Tank Size �/sa n gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ZY inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on (enter
Soil Cover. riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: —7 inches above pipe
%2 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 stem type specified it different !mm the type spedfied on the application. l accept the specifications o/ thir permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. Be Construction Authorization shah not be tnnshrred when there is a change in ownership 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 SEE ATTACHED SITE SKETCH
Authorized State Age G V —z Date: 4 —Z S —iy
Construction Authorization Expiration Date: C-2T—
HTE# Il, -s`389-13
Harnett Conntv
Permit # Z egci3
Department of Public Health
Site Sketch
PROPERTY LOCATON:,79 ZLI-21 C6 .fes ZD
ISSUED TO: 6 JL.AIAJ ,rrj �, SUByDIVISION LOT # S
Authorized State AgeY Date: %' Z 5 `� F
l[OW[r44-S <K
,;O
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:..--
Address: Date Evaluated:
Proposed Facility: 540 Design Flow (.1949):2,7t
Location of Site:�/ Property Recorded:
LJ
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring ff�it ❑ 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
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
�j
��. 3
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Type(s) r Others Present:
Site LTAR '�