IPACHTE#/( f =392// Harnett County Department of Public Health 29055
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
/� q �/ PROPERTY LOCATIOµ_— 3 Z//�5 rl�
ISSUED TOJLU✓hai�.l vw"0 -4� SUBDIVISION fr /I x_ LOT # 7Z
NEW V REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System T pe: �"�v
Projected Daily Flow: GPD
Number of bedrooms Nu�Mayie
ber Occu cats: max
Basement []Yes No
Pump Required: Dyes ❑ No requjred based on final location and elevations of facilities
Type of Water Supply: ❑Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized S e Agent ` Date: 7— /7--,(( SEE ATTACHED SITE SKETCH
The issuance of A. per'y by s ealth 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 sero 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
Reauired 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 accordante
with the attached system layout - n
ISSUED TO: �(Ih�` Y il0 ��G PROPERTY LOCATIONF5VY/.3
�� SUBDIVISION 'I147�%� LOT # CL
facility Type: L�f New ❑l expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 1a o
Type of Wastewater System** 2�t7 —a- 11s� �i (Initial) Wastewater flow: 3�'� GPD
(See note below, if applicable ❑) /
��✓ ���f—z� (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 7gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at �at a
�
Maximum Trench Depth of: -/ inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: —ft. TDM vs. GPM
Conditions:
Trench Spacing: feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
ZZ inches total
**If applicable: / understand the system type speciled it different hom the type spedled on the app/icadon. / accept the rpedhcanons of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is 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
tonstmroon Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to she conditions of this permit )tt AI IAI.ntU SIIt )Ji
Authorized Stafaeat Z l�/L ltr Date: i= / 2 !
Construction Authorization Expiration Date:
HTE# �lp— 352
Permit # 25�Z) Ss—
Harnett County Department of Miblic Health
Site Sketch
PROPERTY LOCAT(
ISSUED TO: CU /7a! -:;PG SUBDIVISION
Authorized ate Aeert�- � /, / Date:
�V
4D I jj
fa* -"6 M
S -17Z
LOT #22
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOH✓SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant . C
Address: Date Evaluated:
Proposed Facility: �t''"� Design Flow (.1949):'-�(��
Location of Site: Property Recorded:
Water Supply: � Public❑ Individual ❑ Well
Evaluation Method:❑ -Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ ,Se ge ❑ Industrial Process
Sheet
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOH, MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
minerslogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
n-
. y
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):T,5
Available Space .1945) Evaluated By: V h�
System Type(s)) Others Present:
Site LTAR