IPACHTE#4-5- 368oa Harnett County Department of Public Health 28897
hDrovement Permit
A building permit cannot be issued with only an lm ravement Permit �/ �i
PROPERTY LOCATION ey/ CZ'Z//L2� 5-0 'Opw
ISSUED T0_LOr/heT� ��G SUBDIVISION r LOT # _.7
NEW ?1_ REPAU[R 11EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 15pr_> ���" �
Proposed Wastewater System Type: 2596' E6D I/CZLr1—)
Projected Daily Flow: 32Qen GPD
Number of bedrooms: Number of Occupants: L max
Basement ❑Yes /No
Pump Required: Yes ❑ No ❑�Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community V Public ❑ Well Distance from well feet Permit valid for: CYFwe years
Permit conditions: ❑ No expiration
Authorized State A ' Date: — SEE ATTACHED SITE SKETCH
The issuance of this permit a "With in no way guarantees the issuance of other permits. The permit holder is responsible for theting 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 subjectto compliance with the pmvisiom 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 .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references inns this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: PROPERTY LOCATION: 7A_111111
SUBDIVISION LOT Z
Facility Type:New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" Pd' e A ZS°lo /Zi6V a—zcii;s,� (Initial) Wastewater Flow: 3da:D GPD
(See note below, if applicable ❑
fiir.,n t% Z_SIZ6:�11ZFZ: ` (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size bd70 gallons Exact length of each trench 96 feet Trench Spacing: Feet on Center
Pump Tank Size —11 cy'30 gallons Trenches shall be installed on contour at a Soil (over. inches
Maximum Trench Depth of 18 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. TON vs. GPM Y inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: / Z-- 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 Jpeciled it different from the type rpeciled on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transhmd 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 att R11116ntU 511t 311,1311,1:11.1111.
Authorized Stab�z 4A-a.ko±zt Date: —7—/q - �k
Construction Authorization Expiration Date:
HTE# 1/o S —38d°o Permit # 096-�F 7
r -
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON,:fC1V'1 /
ISSUED TO: 7zwC SUBDIVISION 40T # Z
Authorized State A Date: —7— /5—
a
CM5L,0/- Dwr
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITEEVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: a��
Address:,a� Date Evaluated: 7-�
o�U
Proposed Facility: Design Flow (. 1949):,3�
Location of Site: ,�� Property Recorded:
Water Supply iublic❑ Individual ❑ Well
Evaluation Method:❑ --P. ger�Bor�i 8 ❑ Pit ❑ Cut
Type of Wastewater: [I Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Evaluated Available S ce (.1945 p �QS
Sy stemT s Others Present:
Site LTAR
Upmticw
SOH, MORPHOLOGY
.1941
O711ER
PROFILE FACTORS
n4vu
pth
.)
1941
Structure/
Texture
.1941
Consistence
Min
.1942
Soil
Wetness/
Color
.1943
Soil
.1956
Sapro
Class
.1944
Restr
Honz
Profile
Class
& LTAR
I, 3
6
1G
°`
z7
�-
3o.3Zr,
3S,
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Evaluated Available S ce (.1945 p �QS
Sy stemT s Others Present:
Site LTAR