IPACHTE# —E35 3 ct% Harnett County Department of Public Health
28997
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
/
PROPERTY LOCATION:,il
Etre
2 64
ISSUED TO:,G)&Af.J
^_-- SUBDIVISION zrere&ezmlLOT
# Z
NEW V 1
REPAIR�I�*
EXPANSION ❑ Site Improvem
is required prior to Construction Authorization Issuance:
Type of Structure:
5+�
Proposed Wastewater
System Type: 257"IR0
aC
Projected Daily Flow:
b
GPD
Number of bedrooms:
p
Number of Occupants: O max
Basement ❑Yes
LST No
�
Pump Required: ❑Yes ❑ No
Ma required based on final location and elevations of facilities
Type of Water Supply:
❑Community
Id Public ❑ Well Distance from well feet Permit valid for, 21we years
Permit conditions:
❑ No expiration
Authorized State ' t Date: i— / —Ile SEE ATTACHED SITE SKETCH
The issuance of this permit she Ith Department in no way guarantees 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 rtvoation a 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 shill be met. Systems shall be installed in accordance
with the attachedyssteem layout
ISSUED TO: "AW t os–Sill t tr.�7e. PROPERTY LO(ATIOJ- ;lot & 2 cam( ,ars, felD
SUBDIVISION_��%% LOT # —9
Faality Type: NewExpansion ElRepVi
Basement? ❑ Yes No Basement Fixtures? 13Yes Na
Type of Wastewater System" Z�5%/ �fre�jpi (Initial) Wastewater Flow: Y9i� GPD
(See note below, if applicable ❑) /
(Repair)
Installation Requirements/Conditions Number A trenches
Septic Tank Size gallons Exact length of each trench 6P 45- feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: L�o inches
Maximum Trench Depth of: Zy inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: fL TDH vs. GPM
Conditions:
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.
inches below pipe
2 inches above pipe
inches total
If applicable: / ondeapnd the system type rpealed it different fmm the type speciled on the app/iation. / accept the rpecifcadonr of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocations if the site plan, plat or the intended use chores. The construction Authorization shall not be transferred when there is a chane in n..hi. of the sin. Thi,
construction namonaadon is subject to compliance mm the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State tint: Date:
Construction Authorization Expiration Date:
NTE# 14;-� -3'73 q--?
Permit # % 9�F97
Harnett County Department of Public Health
Site Sketch
/ ) PROPERTY LO(ATON:
ISSUED TO: !�//.✓�✓ how w(�ie> SUBDIVISION LOT
Authorized State Ate— — �/�/��y/p 2'G Date: q-1
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: W ty�,_
Address: Date Evaluated: &3q. -AC
Proposed Facility: ->4� Design Flow (.1949): q e2x--*)
Location of Site: Property Recorded:
Water Supply: �ublic❑ Individual Z ❑ Well
Evaluation Method: [3 Auger Bon' g it ❑cut
Type of Wastewater: sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
StmctuW
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wemess/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Honz
Profile
Class
& LTAR
�•2
Leo
-1$
h�
Gey
3�3� 52
y
Description initial Repair System Other Factors (.1946)-
System
946):S stem Site Classification (.1948): P!5
Available Space( 1945) Evaluated By�
System T s Others Present:
Site LTAR