IPACHTE# /L-5=30eY) Harnett County Department of Public Health 28958
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATI0QhI S
ISSUED TO/� SUBDIVISION 1Y{ y-eyLOT #
NEW E�' REPAIR ❑ EXPANSION ❑ Site Improv ents required prior to Construction Authorization Issuance:
Type of Structure: 7t✓)
Proposed Wastewater System Type: 'L`_ `2' �V4!77.0'1_
Projected Daily Flow: 00 GPD
Number of bedrooms: �S' Number of Occupants: <R_max
Basement ❑Yes C7 No
Pump Required: ❑Yes ❑ No Mayes' required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Ef Public ❑ Well Distance from well feet Permit valid for. Z Five years
Permit conditions: ❑ No expiration
Authorized Stat nt: ' /9. 0 Date: % /? ! Co SEE ATTACHED SITE SKETCH
The issuance of this permit b he I#alth Department in no way guman ees the istuame of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation sire plan, plat or the intended use changes The Improvement Permit shall not be affected by a change in ownership of the site. Thu 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
(Required for Building Permit]
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .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: 104j"d PROPERTY LOCATION: �j '/Z% ww//,
SUBDIVISION _AieiGL / LOT #
Facility Type: GZ1 New P Expansion ❑ Re air
Basement? ❑ Yes 19 No Basement Fixtures? ❑ Yes 2 No
Type of Wastewater System** % (Initial) Wastewater Flow: ygo GPD
(See note below, if applicable ❑)
Z
(Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size ZOO gallons
Exact length of each trench feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: ZZ -319 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDH vs.
GPM
Conditions:
Trench
Spacing: Feet on (enter
Soil (over. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
4 inches below pipe
7 inches above pipe
/L inches total
**If applicable: / understand the system type specified is different fmm the type spedfed on the application. / accept the specrAcatimt 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 transferred when there is a change in ownership of the site. This
Constmction 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 /-ltt AI IAMU lilt MILE!
Authorized State A Date: —7-1 '7 / cP
Construction Authorization Expiration Date: -R --Z4
HTE# Ag—S--39049
Permit # 2815-8
Harnett County Department of Public Health
Site Sketch
A PROPERTY LOCATON: C51JI42 CA 4Gr KZ
ISSUED TO:1e)4A).� ii�f t� 1 SUBDIVISION v LOT #
Authorized State A¢prrC Date: 7— 6
v /
P
n
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
S011JSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: L
Address: �, - ate Evaluated: 7 -fl- y
Proposed Facility: f yr � J Design Flow (.1949): Y'210Location of Site: lJ Property Recorded:
Water Supply:�. ublic❑ Individual ❑ Well
Evaluation Method:[ 'Auger Boring O'Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial 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—Depth
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Resn
Hona
Site LTAR
Z
L`
0'20
SL
(SAM
Description Initial
Repair System
Other Factors (.1946):
System
Site Classification (.1948):
Available Space (.1945)
Evaluated By:GI
S stem T s
Z ✓t-
Others Present: d�1
Site LTAR