IPACHTE#k 5 34/z2 Harnett County Department of Public Health 28965
hDrovement Permit
A building permit cannot be issued with only an Improvement Perini
Authorized State L ` —Gate: :�Z•2Y—((o SEE ATTACHED SITE SKETCH
The issuance of this permit KtheJealth Department in no 4 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 revocabon(tillovsme 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, .1952, .1954, .1955, .1956, .1957, .1950. 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: -64-- PROPERTY LOCATION;;r�Y/3
SUBDIVISION T4F� /ls�� .- LOT # �
Facility Type: lir/New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 9 No
Type of Wastewater System" (Initial) Wastewater Flow: � GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches 2 y
Septic Tank Size JZ6 o gallons Exact length of each trench /it> y feet Trench Spacing: ` Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. —47--hnches
Pump Requirements: h. TON vs.
Conditions:
Maximum Trench Depth of.. ZY inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36" above the trench bottom)
Inches below pipe
Aggregate Depth: inches above pipe
�Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
""If applicable: / understand the system tipe speciled it different from the type speciled on the application. / accept the spedAcadonr o/ 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 Authoneation is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ILL AIIALHLU Sllt SKt ILH
Authorized S A e 's; � "> Date: 7-7 r? -/C--
Construction Authorization Expiration Date: 7- 7 r, -2(
PROPERTY LOCATION /
Gm c��• J
ISSUED TO- �►�
catty
,
7Vd'Y--� SUBDIVISION
LOT #
NEW f3�
REPAIR ❑�'
EXPANSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater
System Type:
2-`�r2a (ZJ?72h '-ci'
Projected Daily flow.
Number of bedrooms:
%O
GPD
Number of Occupants: max
Basement []Yes
C�T No
�
Pump Required: ❑Yes I-]No3-NjY'tha
Type of Water Supply: ❑ Community
required based on final location and elevations of facilities
E� Public ❑ Well Distance from well feet
Permit valid for. fs3 Five years
Permit conditions:
❑ No expiration
Authorized State L ` —Gate: :�Z•2Y—((o SEE ATTACHED SITE SKETCH
The issuance of this permit KtheJealth Department in no 4 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 revocabon(tillovsme 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, .1952, .1954, .1955, .1956, .1957, .1950. 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: -64-- PROPERTY LOCATION;;r�Y/3
SUBDIVISION T4F� /ls�� .- LOT # �
Facility Type: lir/New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 9 No
Type of Wastewater System" (Initial) Wastewater Flow: � GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches 2 y
Septic Tank Size JZ6 o gallons Exact length of each trench /it> y feet Trench Spacing: ` Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. —47--hnches
Pump Requirements: h. TON vs.
Conditions:
Maximum Trench Depth of.. ZY inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36" above the trench bottom)
Inches below pipe
Aggregate Depth: inches above pipe
�Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
""If applicable: / understand the system tipe speciled it different from the type speciled on the application. / accept the spedAcadonr o/ 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 Authoneation is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ILL AIIALHLU Sllt SKt ILH
Authorized S A e 's; � "> Date: 7-7 r? -/C--
Construction Authorization Expiration Date: 7- 7 r, -2(
HTE# �I�— S— 3G I Z2 Permit # 299/0.5;
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATt
ISSUED TO: -7;�e SUBDIVISION
Authorized State
LOT #
aDate:
zj
5
A
�CSe#-vi A��✓�
i
Z`�
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOI JSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: 7-7774k,
Proposed Facility: Design Flow (.1949): 16�0
Location of Site: Property Recorded:
Water Supply: [QPublic❑ Individual ❑ Well
Evaluation Method: Q - Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: D -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
(1n.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minandogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Rear
Horiz
r4s-rq2 r.150,O
a of
w
r s./�
`t('H(� 5 L
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): '
Available Space(. 1945) Evaluated By:r --
S stem Type(s)) Others Present: !'_j
Site LTAR d