IPACHTE# //a— 39t Z3 Harnett County Department of Public Health 28983
Improvement Permit ��yC/
A building permit cannot be issued with only an
ImpFodeat Permit
Q� t� PROPERTY LOCATION: ZaL /�-4 ao
ISSUED TO:JJi4&J SUBDIVISION r14 -r, /lo ul LOT # it
NEW l' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ?5'Z� /lncP
Projected Daily Flow: O GPD
Number of bedrooms: Number of Occupants: $ max
Basement ❑Yes o
Pump Required: []Yes ❑ No f3 Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ CommunityPublic ❑ Well Distance from well feet Permit valid for. 2Five years
Permit conditions: ❑ No expiration
Authorized State tfient, a Date: � -/ 7 —/(e SEE ATTACHED SITE SKETCH
The issuance of this peri y t Health Department in no way guarantees the issuance of o er permits. The permit holder is responsible for checking with appropriate gonming bodies in meeting their requirements. Thu
site is subject to revoa the sin plan, p1m, 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 provisiom of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Buildine Permit
The construction and installation requirements of Rules Also, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in mardano
with the attached system IayouL �j
ISSUED TO: WA4eo-1ja f, k Sri PROPERTY LOCATION: 151/ a ll..7,0 S %I/J
SUBDIVISION 72 o r LOT # /t
Facility Type: New �❑ ppansion El Repair
Basement? El Yes No Basement Fixtures? El Yes LJ'Tto
Type of Wastewater System** _ZS�Io t2gebo C t :XU 5NVS-+;ix— (Initial) Wastewater Flow: tji`�5 GPD
(See note below, if applicable ❑)
25`x, (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /200 gallons Exact length of each trench /'LD feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 24 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft, TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. — 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
to inches below pipe
Aggregate Depth: inches above pipe
� inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: l undeatand the ryrtem type rpecifed it diKerent from the type specified on the application. / accept the Jpecihcations of tha permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject in revoason if the site plan, plat or the intended use changes. The Construction Authomvion shall not be transferred when there is a change in ownership of the site. This
Lomtactlon Authonaaton is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the confusion of this permit )tt Al IALMN )fit .)RU1.111
Authorized State Ag t: "4 3 Date: '3—m -6
Construction Authorization Expiration Date: —/4 -2/
HTE# /6 -'S--511 L3 Permit # ?��n 3
Harnett County Department of Public Health
Site Sketch �n
PROPERTY LOCATON:,>UV/.3 /e&&" 20
ISSUED TO: C, SUBDIVISION 7/f2f % tom _ LOT #
Authorized
Date: 9 — / 13 llj ez
3(0
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER`
Owner: Applicant:
Address: / Date Evaluated:
Proposed Facility: [/rIJ Design Flow (.1949): yto
Location of Site: �J ��� Property Recorded:
Water Supply: �TPublic❑ Individual ❑ Well
Evaluation Method: uger Boring ❑ Pit ❑ Cut
Type of Wastewater: j] -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Sim:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position,
Slope %
Horizon
Depth
(In.)
SOH. MORPHOLOGY
.1941
OTHER
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
U Y
0 -37 -
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): (?
Available Space .1945) 1Evaluated By:
?-System Type(s)? b 'L Others Present:
Site LTAR • 'e.5—
.-( -