IPACHTE# fe— 3-�// Harnett County Department of Public Health 28962
Imorovement Permit
A building permit cannot be issued with only an Improvement Pe�yt
9/ PROPERTY LOCATION:Z/t
ISSUED TOy�d7SY> SUBDIVISION Tfj�aE 25@xf/� LOT #
NEW G REPAIR 1:1EXPANSION [ISite Improvements required prior to Construction Authorization Issuance:
Type of Structure: SPD
Proposed Wastewater System Type: 755� r"LZN i ) lX7,A-s,
Projected Daily Flow: `S c8i o GPD
Number of bedrooms: 4 Number of Occupants: cL max
Basement []Yes LWNII ����
Pump Required: ❑Yes 11 No LJ'Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community fS Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
five years
❑ No expiration
Authorized State Agee- L Date: 7-2101 & SEE ATTACHED SITE SKETCH
The issuance of this permit the alth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to reraasio a sire 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 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, .1951, .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: -Jkily� PROPERTY LOCATIONZ&_)t//3 1Z&6C40s
SUBDIVISION 7710 1Lrrce.. LOT #
Facility Type: CSS New ' Expansion ❑ Repair
Basement? El Yes No Basement Fixtures? El Yes FJ No
Type of Wastewater System** %-9K IrcJ-Ce (Initial) Wastewater flow: Yi30 GPD
(See note below, if applicable ❑)
2"v1„ Rk-A�-Lv(Repair)
Installation Requirements/Conditions Number of trenches _ 3_
Septic Tank Size/1150 " gallons Exact length of each trench /43a feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth oL Zq inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: fL TDM vs. GPM
Conditions:
Trench Spacing:- feet on Center
Soil Cover. 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.
inches below pipe
2 inches above pipe
inches total
**If applicable: / understand the syrtem type rperified is different from the type specified on the app/icittion. / 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 ase changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorintion is subject to compliance with she provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized StattNlget Date: %- Z6 - !//J
Construction Authorization EXDlratlon Date: -7 _-7/ - Z---/
HTE# IPermit # z -
Harnett County Department of Public Health
Site Sketch
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PROPERTY LOCATON:n—�--1413 /C
ISSUED TO: v )�w Z A�k/AOSUBDIVISION JYW
Authorized State ate:
M,
LOT #
—26-!
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 0041 '
Address: Date Evaluated:
Proposed Facility: O_C:7� Design Flow (.1949): qW
Location of Site: Property Recorded:
Water Supply: ,—ErPublic❑ Individual ❑ Well
Evaluation Method:Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: P -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
OOTHER
F
1
L
E
#
1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOH. MORPHOLOGY
.1941
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minentloa
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Rear
Horiz
3
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u Ln/
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ZY-Y z
cl(
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it
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it
jAvailableS
cription Initial Repair Syst m Other Factors (.1946):
S stem Site Classification (.1948):
ace (.1945 Evaluated By:
ern T e(s ST'i Others Present:
LTAR et