IPACHTE# I�o'S-3`1C53`b Harnett County Department of Public Health 28913
Improvement Permit
A building permit cannot be issued with only an Int rovers nt Permit n
1, PROPERTY LOCATION:cvCpba
ISSUED TO: SUBDIVISION — LOT # I
NEWW)< REPAIR[� EXP,IA�N${ION ❑
Type of Structure: SV (60/
Proposed Wastewater System Type: � o '(5cvr'
Projected Daily flow: 2 GPD
Number of bedrooms:Number of Occupants: max
Basement ❑Yes Na
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �X Public ❑ Well Distance from well feet Permit valid for. ❑ Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 6 30 SEE ATTACKED SITE SKETCH
The issuance of this permit by the Health Deparmnem m no way guarantees the issuam cher permits. The pemdt holder is responsi le for decking 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 Improreme rmit 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 Ibis permit.
Construction Authorization
(Required for Building Permit)
The mmtmction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be me(. Systems shall be imulled in amrdance
with the attached system layout
ISSUED T0: F�GnNGSM Zig 62 PROPERTY LOCATION: CZ 0 u (,Abri Ro
SUBDIVISION — LOT # 1
Facility Type: SqN-) ro0D X, New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'R No Basement Fixtures? ❑ Yes )5k No
Type of Wastewater System** a.5% 9,6c,\X.K t v is (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
PU nn9 \ n Qj��/ a (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size s COO gallons Exact length of each trend feet Trench Spacing: e) Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. (- inches
Maximum Trench Depth of I'% '-.PA 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. TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions:
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: / undersand the ryrtem type rpedhed is different /rant the type spedfed on the app/icadon. / accept the .rpedbcationr of thin permit.
Representative
Construction Authorization is
Authorized State Agent:
use
Date:
not be transferred when there i
the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
Date: 10 Z'01)4'
Authorization Expiration Date: q2'0
inches total
SEE ATTACHED SITE SKETCH
HTE# "5 3`(03`6 Permit # zap 1?z
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: T"'AC,00X1&e.LQ i 4
ISSUED TO: �—A 6 SUBDIVISION ��— LOT # t
Authorized State A¢ent: Date: 30 11{i
I
CotX00 ��i
300
t�, r
MLO0UWI-0 QO
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: �j (u7g ¢�.� Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: yy Public❑ Individual C] well
Evaluation Method:uger Boring ❑ Pit ❑ Cut
Type of Wastewater. jQ'Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOH. MORPHOLOGY
.1941
OTHER
PROFH.E FACTORS
Profile
Class
& LTAR
.1941
Structure'
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
r
o a0
3v
c: s
WR,
2
5-5
LSA
4>C L
k:k\ sad oe
I a -1a b 0-3,6
(� 3'0
4-5
�CFsI r iJ
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948): 1-�,
Available Space(. 1945) Evaluated By: U\
System Type(s) –3717-4612 (/' Others Present: �J
Site LTAR J