IPACHTE#�l�— S 3S� 17 Harnett County Department of Public Health 28987
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIO 06 J / D 5v
ISSUED TO-. SI Dc SUBDIVISION IO)SA65>M A)4a4S LOT #
NEW EPAIR 0 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -5r
Proposed Wastewater System,�Typye_: _
Projected Daily Flow: ��iJ GPD
Number of bedrooms: :;a1ri'lue
ef Occupants: max
Basement
Dyes N� o qPump Required: ❑Yes ❑No required based on final location and elevations of facilities �
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: PFive years
Permit conditions:
❑ No expiration
Authorized S el .. tom (T e �Y% Date: Ci -4-'L —I to SEE ATTACHED SITE SKETCH
The issuance of this permit Health Department in no way guarantee: the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocation i 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, .1957, .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:Ls r'L PROPERTY LOCATION: !�
SUB ISION LOT # 1re
Facility Type: ;5 e [1 New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Z5% 71-0-bo'fl ! 6"7.t.�— 'a.,,:5 d +z_ (Initial) Wastewater Flow: 3 DD GPD
(See note below, if applicable ❑)
25"4', Qct
rt ai-=T (Repair)
Installation Requirements/Conditions
Number of trenches 1Z
SepticTank Size gallons
Exact length of each trench t feet
%
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: ZY inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TON vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATIONS 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
inches above pipe
/L inches total
**If applicable: / understand the trrtem ripe tpeciled /i different from the type tpeciled on the app/icadefl. / accept the rpecibcationr of thin permit
Owner/Legal Representative Signature: Date:
This construction Authorization u 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
Lunstructon Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit- )tt At IAINtU )Ilk MUCH
Authorized St a ent: Date: c� ' Z c/-/%
Construction Authorization Expiration Date: 9-
HTE# � (o — 6 - Permit # z8 X87
Harnett County Department of 1"ublic Health
Site Sketch
PROPERTY LOCATON:A<-/06(, /U7
ISSUED TO: SUBDIVISION LOT # �G
Authorized State A�e �L� '� / Date: lr
ti
j
'E�Lu� 1)z
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIWSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: L,,.y.rty
Address: u Date Evaluated:
Proposed Facility:Design Flow (.1949): }�
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method,Lj Auger Bo ' g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940.1941
MORPHOLOGY
OTHER
PROFILE FACTORS
L
E
#
Landscape.1942
Position/
Slope%
e/
e
.1941
Consistence
Mmeralo
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
tSOILMO,RHIL
5�DZ5,.3
tmZ L
Description Initial Repair Syst Other Factors (.1946):
S stem Site Classification (.1948):y�{�
Available Space(. 1945 Evaluated By(/ ,
S stem T s Others Present:
Site LTAR