IPACHTE# G- S 31a97 Harnett County Department of Public Health 28892
Imorovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ex
ISSUEDTO W.J a
N) �a) d+t a, c� r.:. SUBDIVISION LOT #
NEW f� 1REPAIR ❑ EXPANSION ❑ Site Improvemenif required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z5% Z6a-;>r( ) lw7r/U
Projected Daily Flow: 4 GPD
Number of bedrooms:Number of Occupants: RS
Basement []Yes /�
Pump Required: Ei2Tes ❑ No ❑ �M�a a required based on final location and elevations of facilities '�
Type of Water Supply: El Community Ind Public C1Well Distance from well feet Permit valid for. LA Five years
Permit conditions: ❑ No expiration
Authorized State C Date: 4— Z5—/-(. SEE ATTACHED SITE SKETCH
The issuance of this permit /b 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 m revoatim4 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permitl
The construction and installation requirements of Rules .1950, .19S2, .1954, .1955, .1956, .1951, .1950. 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 TO: - L 1-1 CnntSfiwc}3oaJ -rwc PROPERTY LOCATION Z
SUB VISION LOT #
Facility Type: El New Expansion ❑ R air
Basement? El Yes ❑
No Basement Fixtures? Yes No
Type of Wastewater System** '?6% rZgF t.- S, s (Initial) Wastewater Flow: y b GPD
(See note below, if applicable ❑)
2-57% 1`74rb?c7I��d=- (Re pair)
Installation Requirements/Conditions Number of trenches c>
Septic Tank Size1 � gallons Exact length of each trench f Z-0"'I"eet
Pump Tank Size � gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Z"? 14A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDH vs. GPM
Conditions:
Trench Spacing: _� Feet on Center
Soil Cover: _ _� inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
�— inches above pipe
-Z inches total
**If applicable: / understand the tyrtem type Jpecif'ed it different from the type rpedf'ed on the application. / accept the rpecifcationr of thin permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoadon if the site plan, plat or the intended use changes. The Construction Authorization shall not be transhrred when there 4 a change in ownership of the site. This
Construction Audsorization is
Authorized
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the Conditions of this permit SEE ATTACHED SITE SKETCH
�t Date: 6- -n
Authorization Expiration Date:
H T E # / U - ! -fFM"L
Permit # -Zee 5 Z
Harnett County Department of Mihlic Health
Site Sketch
PROPERTY LOCA N: NZS m�
ISSUED TO: �lJN Cr�nut P$i SUB IVISION LOT # 6j
Authorized State Agen . G 4 ��5 Date:
I3b
3b
u i Xd bti
-�3a 7
PW
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: 51C:6 Design Flow (.1949):
Location of Site:,,,/ Property Recorded:
Water Supply: U Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring ET -fit ❑ 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
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Rmtr
Horiz
7
v -N
5�,
Srt
Description Initial Repair System Other Factors (.1946):
System - Site Classification (.1948): hS
Available Space (.1945) Evaluated By:�.�
System Type(s)) Others Present:
Site LTAR