IPACHTE# (-5 Vai3s'.). Harnett County Department of Public Health 28950
Improvement Permit
A building permit cannot be issued with only an�improvement Permit
PROPERTY LOCATION: (!3,.D \MwI 'N
ISSUED TO: J aai Js S'.Ccgn T SUBDIVISION LOT # 1.1—
NEW ' REPAIR ❑ EINSION ❑
Type of Structure: Tnoo (3Z�
Proposed Wastewater System Type: Z.S°i�o �f c So ter y� ; r—n
Projected Daily flow 11440 GPD
Number of bedrooms: H Number of Occupants: ..max
Basement ❑YesNo
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public X Well Distance from well 1—.00 feet
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
Permit valid for. XFive years
❑ No expiration
Authorized State Agent: �> '41Ek Date: e1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu 1 other permits. The permit holder is responsi Is for checking with appropriate governing bodies in meeting their requirements, This
sin is subject to revocation if the site 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, .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: 5 ���xs(9,� PROPERTY LOCATION: oez 1 11
r*10SUBDIVISION LOT #_
Facility Type:
9 �'a �I(,� New ❑ Expansion ❑ Repair
Basement? ❑ Yes Ik No Basemenl,{ixtures? ❑ YesNo
Type of Wastewater System** `�. 16 ►1Epycg w%a,J y5zGr. (Initial) Wastewater Flow: lsid GPD
(See note below, if applicable ❑)
'k V- 'QED, CJys • (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t ooU gallons Exact length of each trench 70 feet
Pump Tank Size gallons Trenches shall be installed oncgntour at a
Maximum Trench Depth of: 1'ea inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: ft TON vs. GPM
Conditions:
Trench Spacing: c1 feet on Center
Soil Cover. S inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches 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 appliable7 / andeatand the system type spedfed is different from the type spealed on the app/iration. / accept the spedfevians of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is w nrandon it site plan, plat or she intended use changes. The Conswttion AutAorintion sha% net be nanslerred when then n a change in ownership of the site. This
construction Authorization is subject mpliance ro " the Laws and Rules lm Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: N Date: 4 lb
Co ction Authorization Expiration Date: Z a
HTE# ) C ' 5- �}3 J^a Permit # a 50
Harnett County Department of Health
Site 5ketc1i
PROPERTY LOCATON:
ISSUED T0:2 t P C_�SOtJ SUBDIVISION
Authorized State Agent: 6LNE2 +OLY�pd2i Date: 8ldyli�
M
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOUJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: y gb/ 2c^ Design Flow (.1949):1-tZ<_", , n
Location of Site: Property Recorded:
Water Supply: ❑ Publico IndividualWell
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: _�9 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(in.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapm
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
�.
i711f6
�l
C-Lhb
G �
ycn. v�1ctP
3
0
Q,
5
Description Initial Repair System Other Factors (1946):
system Site Classification (.1948): J 5
Available Space(. 1945) Evaluated By:
System Type(s)) q ,'J Others Present:
o PP C2
Site LTAR - 6