IPACHTE# G —s 3��g� Harnett County Department of Public Health
28899
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit ,, b
PROPERTY LOCATION:Z§��4�/ Ut�ilFa �� �i ✓L�
ISSUED TO: �� 'G SUBDIVISION CwYa e e --T LOT # at
NEW REPAIR [f ���EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 251% 11224yuvly�
Projected Daily Flow: 4,- S GPD
Number of bedrooms: Number of Occupants: max
Basement Dyes No
Pump Required: Sfes ❑ No ElMaybe required based on final location and elevations of facilities
Type of Water Supply: ElCommunity lblic ❑ Well Distance from well feet Permit valid for. Ll{'Flve years
Permit conditions: ❑ No expiration
Authorized State cat6: G — Date: t- / - I (. SEE ATTACHED SITE SKETCH
The issuana of this permit 1 t lealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for clucking with appropriate governing bodies in meeting their requirements. This
site is subject tot revocation i the sire 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 in 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 .1958, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 an incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: ea=;Z' S�ti�.�_ �yeL PROPERTY LOCATION:
I/ g—� -/ SUBDIVISION XT # e/
Facility Type: /rs Lid NewExpansion ❑ Repair
Basement? ElYes 1Y No Basement Fixtures? ElYes V No
Type of Wastewater System** ZSa/n fZEDyCxri;;� �?y sA/b - (Initial) Wastewater Flow: `JL o GPD
(See note below, if applicable ❑) '
?t-% 7.pcs (Repair)
Installation Requirements/Conditions Number of trenches �J
Septic Tank Size Iff4i o gallons Exact length of each trench /oma feet
Pump Tank Size ,9 4 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. ZL-" r8 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)
il inches below pipe
Aggregate Depth: 4� inches above pipe
/7_ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / andeah4d the tyttem type speciled it diNerew from the type speared an the application. / accept the specilcations of thii permit.
Owner/Legal Representative Signature: Date:
This Concoction Authorization is subject in revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is object to compliance with the provisions of the taws and Rules for Sewage Treatment an Disposal and to the conditions of this permit Stt AI IALHLU Silt SKtILH
Authorized State Date: -7-7 - /
Construction Authorization Expiration Date: -7--7 - 2/
HTE# 3975c5
Harnett County
Permit # 2 ?1 V3
Department of Public Health
Site Sketch
PROPERTY LOCATON:Sn_ 14 q t ! w ur
ISSUED TO: SUBDIVISION — LOT #
Authorized State AgeKl�� � Date: 6
cd 4
GLOSS I r PK
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: S41i Design Flow (.1949):3` a
Location of Site: Property Recorded:
Water Supply: r�/ [3l ublic❑ Individual ❑ Well
LS
Evaluation Method: Auga BBori ❑ Pit ❑ Cut
Type of Wastewater: L4'Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
p
.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
L.6
D P
SL6cwr+.1'
Z,2 - 4z'
3 4
US_s7
mks
Description Initial Repair System Other Factors (.1946):
System Site Classification (.19481-
ail
Avable Space(. 1945) Evaluated ed B��
System T e(s •'"L. Others Present:
Site LTAR