IPACHTE# Ito- S- 37D Y S Harnett County Department of Public Health 289 5 9
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
LL'� ? �Y/ PROPERTY LOCATION��%q/ZCGV4 -f�
ISSUED TO�OW39T 1`Ael i) J % � SUBDIVISION /7itr/ea /thO,:c LOT #
NEW EV REPAIR El EXPANSION 11Site Improvemeng required prior to Construction Authorization Issuance:
Type of Structure: s
Proposed Wastewater System T e: 25"/s ZF. bu67-a-r)
Projected Daily Flow: 0 GPD
Number of bedrooms: Number of Occupants: IR max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No fM 'be required based on final location and elevations of facilities
Type of Water Supply:
Permit conditions:
❑ Community f Public ❑ Well Distance from well feet
Permit valid for.
LJ Five years
❑ No expiration
Authorized State Ag C v ` Date: " 2/—/167 SEE ATTACHED SITE SKETCH
The issuance of this permit by h Health 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 u subject to revoc: a site plan, plat, or the intended use changes. The Improvement Permit shall not he affected by a change in ownership of the site. This permit is subject to compliance with the previsions 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, .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:CaAsi L3 A) I l PROPERTY LOCATION;1/4fn,3/G'v
SUBDIVISIONft
r
12A-L±'✓Q o LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes allo
Type of Wastewater System** Zs�y,/1�L,& -LU-ZW61s,- (Initial) Wastewater Flow: Ci 9w GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size Zod gallons Exact length of each trench feet Trench Spacing: C% Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ZZ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Soil Cover. (:;g inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
/Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFL FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the s}rtem type speciffed is different from the type specified on the application. / accept the rpecipcationr 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
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 SEE ATTACHED SITE SKETCH
i
Authorized State ent:Date: Z I t L
11 11 1 Construction Authorization Expiration Date: '1 " I - L I
HTE# �� 3`�OSS Permit # Z'a 9 5
Harnett County Department of Public Health
Site Sketch
�� PROPERTY LO(ATON: HI 8
ISSUED TO SUBDIVISION i2¢fvt-,) !LrrJ.7-1 LOT #
Authorized State Age f Date: -I—?- / �4
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: A-011
Address:S� Date Evaluated:
Proposed Facility: Ot — Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ,—,,; ublic❑ Individual ❑ Well
L`
Evaluation Method: AugerBoq ng aPit ❑ Cut
Type of Wastewater: [j Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ 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
MineraoRy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Salim
Class
.1944
Rear
Horiz
`3
6'�
b— 3
5 L�Ler,—
P
S't!1'
Sc C4
3{ -aro 3.1
Description Initial Repair System Other Factors (.1946):
System Site Classification ):
Available Space (.1945 Evaluatedted B By:
System T e(s) Others Present:
Site LTAR '3 S Y