IPACNTE# - s`35/ z Harnett County Department of Public Health 28964
Improvement Permit
A building permit cannot be issued with on; -Cd—' provgment
// II. PROPERTY LOCATIO
ISSUED TO: fn/4 SUBDIVISION i /_. LOT #
NEW C� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -SFO
Proposed Wastewater System Type: 2-5%
Projected Daily Flow: `i GPD
Number of bedrooms -Number (Ocapants: _ c maz
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well het
Permit conditions:
Permit valid for.
01ive years
❑ No expiration
Authorized State enc: a Date: 1 Z I (P SEE ATTACHED SITE SKETCH
The issuance of this permit��t 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 is subject to revocatio�if the sin plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the sire. This 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
Reouired for Buildine Permit
The construction and installation requirements of Rules .1958, .1952. .1954, .19SS, .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 T0:Qk ri
PROPERTY LOCATION: ZAAr ; /t�
SUBDIVISION L
OT #
Facility Type: Cd/New
Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2Nc
Type of Wastewater System" 1 (Initial) Wastewater Flow:P—O GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches _ 3
Septic Tank Size / 46 gallons Exact length of each trench /y U feet Trench Spacing: �7 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. 4 inches
Maximum Trench Depth of: 2-1 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: 2 inches above pipe
Conditions: /L inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. 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 specified it different from the type specified on the application. l accept the speageatioar of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the sire 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
tonstmctmn Aumonaauon IS sugea to compliance with the pmnsions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit 5tt MIAMI) )Ilt )RtIIN
Authorized State Ag Date: -7
Construction Authorization Expiration Date: -7-7-9-71
HTE# 31112-1 Permit # 2 M, q
Harnett County Department of Public Health
Site Sketch
L� PROPERTY LOCATON: 6371.1i�n�
��5 246
ISSUED TO: AkAwM /t +L.- [�(jlti�2 SUBDIVISION _ TI'S ISP_,c �iP . LOT #
Authorised State Agee � PI Date: '/'zg'"Av
Vii,
i�
Pu
r,tSek,u6 ill..
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: T�7"t%
Proposed Facility: - Design Flow (.1949):LSP?&
Location of Site: /- Property Recorded:
Water Supply: j L[}PubliCp Individual ❑ Well
Evaluation Method:q Auger Boryg ❑ Pit ❑ Cut
Type of Wastewater: 13/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
PROKLE FACTORS
Profile
Class
& LTAR
.1941
Structure)
Texture
.1941
Consistence
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
-5
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): F5_
Available Space(. 1945) Evaluated ByL,
S stem TPS'
s Others Present:
Site LIAR