IPACNTE# ' S '3�01L Harnett County Department of Public Health 28973
hDrovement Permit
A building permit cannot be issued with only an Improvement Permj
/ PROPERTY LOCATION: /47
ISSUED T0: lk-`L, tyru SUBDIVISION Aj `rr e 'rev—ali LOT # 7t�
NEW REPAIR ❑ EXPANSION ❑ Site Improv ents required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z 5—
Projected Daily Flow: 0 GPD
Number of bedrooms:lJr— Numbe of Occupants: Pz—max
Basement []YesId NO
Pump Required: ❑Yes ❑ No Q May a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community vblic ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by/the alth Department in no way guarantees the issuance or other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation d t ie sire pian, 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
Reauired for Buildinp Permit
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .19S9 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO:", L,) PROPERTY LOCATIOfil dl 12,b
SUBDIVISION LOT # 7 a
Facility Type: ? 3 New El Expansion ❑ Repair
Basement? 1-1Yes No Basement Fixtures? 11 Yes Yes E
Type of Wastewater System** 2'3 '2,cv jQ-r_�2 ;:�r (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
6 l i^ c 1 c l t L'% a. r E'2�C�(Repair)
Installation Re uirem n C nditions Number of trenches Z G�
Septic Tank Size 2C0 gallons Exact length of each trench feet Trench Spacing: ! Feet on Center
Pump Tank Size gallons Trenches shall be installed on contourfat a Soil Cover. riches
Maximum Trench Depth of: / inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 36' above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: ill � J /a riches total
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.
**If applicable: / understand the system type specibed it different from the type speufied on the application. l accept the rpecilcadol o/this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is object to revocation if the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when there u 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 in the [andirons of this permit Xt AI IALl alit ahCllA
Authorized Sta Agent - Date: 8--5-1(-
Construction
-3-f/nConstruction Authorization Expiration Date: 3,3-4
HTE# /C —S — 3 se I Z Permit # Z 85 -73
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATC
ISSUED T0: SUBDIVISION
Authorized State
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIWSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: Wf n --
Address: Date Evaluated: � 2. ( D
Proposed Facility: Design Flow (.1949): r M
Location of Site: t)�— Property Recorded:
Water Supply: Mublic❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring Q Pit ❑ Cut
Type of Wastewater: 9 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
OOTHER
F
I
L
E
#
1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
1941
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
GR /11:7111(
51111
ry
3
n •1Z
�� ,r�t-6�
,
Description 51;;
m Other Factors (.1946):
System Site Classification (.1948
)v ;
Av(.Evaluated By:
System T e(s
Others Present:
Site LTAR