IPACNTE# /4-5--3 g6 s Harnett County Department of Public Health 28889
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:CJ
ISSUED TO• - �K+V•C� SUBDIVISION J I LUI VF I
NEW f� REPAIR 4 _`
EXPANSION ❑ Site Improve fits required
prior to Construction Authorization Issuance:
Type of Structure: }�
Proposed Wastewater System Type: 0'�Z,
—
Projected Daily flow: L1 9,0
GPD tit
Number of bedrooms: F
Basement ❑Yes
Number of Occupants: max
Pump Required: T es ❑ No
M e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
LaY Public 1-1Well Distance from well feet
����
Permit valid for Ylfive years
Permit conditions:
❑ No expiration
Authorized State ent: / _ Date: (0 '((� SEE ATTACHED SITE SKETCH
The issuance of this permit a Health Deparomus in no way guarantees the issuance of other permits. The permit holder is responsible for checking with approptiam governing bodies in meeting their requirements. This
site is subject to revocation i 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 Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
Reauired for Buildine Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 am incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layoue
ISSUED TO: T JU.- G PROPERTY LOCATION:f�I Y 2_9
SUBDIVISION LOT #
Facility Type: �X0❑Axpansion El Repair
Basement? El Yes No Basement fixtures.? ❑ Yes E
Type of Wastewater System** ZS 7 (Initial) Wastewater Flow: V60 GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions Number of trenchesy ::�
Septic Tank Size /&Z) gallons Exact length of each trench 1105 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: &6-7 IP inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: _ZZ inches total
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.
**If applicable: / understand the system type specified is different from the type specded on the application. / accept the spedficadonr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to meoo6on if the site plan, plat or the inunded use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authcnzation is subject to compliance with the provisions fof the laws and Rules for sewage Treatment and Disposal and to the conditions of this permit att AI IAI.ntD alit alltlln
Authorized State G Date: a— ZS —15.6
!ff Construction Authorization Expiration Date: 6
HTE# —Sa-)Yo 9 Permit # 2,Y0 P'
Harnett County Department of 1'�ibli e Health
Site Sketch
PROPERTY LOCATON:5W `/Z /cJ�
ISSUED TO: "All lS�iwC%7sa% � SUBDIVISION LOT #
�S
Authorized State A g Date:
1201
14" p6a M
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: L.9 !
Address: Date Evaluated: Z"77
Proposed Facility: Design Flow (.1949):
Location of Site:/ Property Recorded:
�
Water Supply: � Public❑ IndiyL� ❑ Well
Evaluation Method:❑ Auger Boring L'J Pi ❑ Cut
Type of Wastewater: Sewage ndustrial 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
Honz
yase
u
_-
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available S ace (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR 5