IPACHTE#/h—s —3i3�b Harnett County Department of Public Health 28991
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION:
ISSUESUBDIVISION LOT #
NEW 521" REPAIR CJ. _ _ EXPANSION ❑
Type of Structure: �—j�
Proposed WastewaterSystem �TTyyppe: �`%
Projected Daily Flow: < Xd&V GPD
Number of bedrooms: Number of Occupants: max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Ma �a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community f53 Puhlic ❑ Well Distance from well � feet
Permit conditions:
Permit valid for
Five years
❑ No expiration
Authorized State Kgan .. L V Date: K 'LY / SEE ATTACHED SITE SKETCH
The issuance of this persaitliodefficalth Department in no way guaramees 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 revoci 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: �� '—� �J/L-- PROPERTY LOCATION:Cy�bSt2(J
`� SUBDIVISION LOT #
Facility Type: P New ❑lExpansion ElRepair
Basement? ❑ Yes No Basement Fixtures? ElYes A
Type of Wastewater System`* ZVO16 Z„sQ2— (Initial) Wastewater Flow:
(See note below, if applicable ❑)
Zsl v I Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 6 D o gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
360 GPD
Trench Spacing: (— Feet on (enter
Soil Cover. O inches
(Maximum sail cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
2 inches above pipe
inches total
**If applicable: / undersand the system type spedlled is different from the type spedfled on the app/icatioa / accept the spedficatims of this permit.
Owner/Legal Representative Signature: Date:
This Constmction Authorization is subject in revocation if the site plar, plat or the intended use changes. The construction Authoneation shall not be transferred when there is a change in ownership of the site. This
tomtmmon Authoritarian is subject to compliance with the prowmons 01 the laws and Rules for Sewage Ireatment and Disposal and to the conditom of this permit At nl I91cnCU slit Mticn
Authorized Stat crit: Date: "/FJ
Construction Authorization Expiration Date: g -4.Y -Z/
HTE# /�— S-373 S S
Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:0
ISSUED TO: 94i>- S Z�C,65-03J SUBDIVISION LOT #
Authorized State A Z z4 2em Date: iii 'L G —( 6
�ku
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:,
Address: Date Evaluated:
Proposed Facility: -,11 * Design Flow (.1949): �f b
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:❑ -AUger Boring ❑ Pit ❑ Cut
Type of Wastewater: .9 -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mined
P
R
O
F
I
.1940
SOIL MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
L
E
#
landscape
Position/
slope %
Horizon
Depth
(in.)
.1941-
Structure/
Texture
1941
Consistence
Mmeralo
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN,
.1956
Sapm
Class
.1944
Reso
Horiz
Profile
Class
& LTAR
I
J
L3 y,
e Z.)
s
6z dam P
kr4
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By: p
System Type(s) Zxr1. Others Present
Site LTAR . y,