IPACHTE#1(a-5— 3 "Tc,bS Harnett County Department of Public Health
28954
Improvement Permit
A building permit cannot be issued with only an Improvement Permit -7�
PROPERTY LOCATION: ZbtZ t�IJI L/r 9c p�
ISSUED TO. LT5 G SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1 t' � V —
Proposed Wastewater System Type:
Projected Daily Flow: 3 Le -0 GPD
Number of bedrooms:3 Number of Occupants: 4— max
Basement ❑Yes E No �
Pump Required: ❑Yes ❑ No l/ May be required b d on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Gell Distance from well /Y;bfeet
Permit conditions:
Permit valid for:
Ld'Fjve years
❑ No expiration
Authorized Stat en •• G /' Date: SEE ATTACHED SITE SKETCH
The issuance of this permit th value 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 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 subject to compliance with the provinces; of
the taws 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, .1957, .1954, .1955, .1956, .1957, .1958. 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:,j�P� PROPERTY LOCATION: �5a. LaLbL-�C6 %
SUBDIVISION LOT #
Facility Type: 'P 1�iNew 11Expansion 11Repair
Basement? ❑ Yes 9 No Basement Fixtures? 1-1Yes ET o
Type of Wastewater System'* ZS -2o r?/� 0 6✓Z.Al-rti- " c ' t2T (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
25`x, Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size / gallons Exact length of each trench /cad feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of Zy inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: H. TUN vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. � inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
C,�,— inches below pipe
Aggregate Depth: Z inches above pipe
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: / understand the system type foecifed is different from the type spedfed on the app/kation. / accept the rpeahiadonr al 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 he transferred 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 Stt AI IALntU Slit MIL11
1,41Authorized Stat gent:. = S "'L' Date: 17 / 5
Construction Authorization Expiration Date: 7-15- Z�
HTE# 39065 Permit # 7,e7 -5-y
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON A b)" /bd/4e ''lam
ISSUED TO: Nom% /p/e�) SUBDIVISION LOT #
Authorized State A J L �Q� Date: 7- / 4 - /
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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: rj 417/
Address: Date Evaluated:
Proposed Facility: Design Flow (1949)��6,_�
Location of Site: Property Recorded:
Water Supply:Public❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 'Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Sim:
❑ 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
Mineraloa
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
IrL
L�
o_od
Description Initial Repair Sys[e Other Factors (.1946):
S stem Site Classi£cation (.1948
Available Space .1945) Evaluated B
System Type(s) Others Present:
Site LTAR