IPACHTE#�v� Harnett County Department of Public Health 29070
Improvement Permit
A building permit cannot be issued with only an I provement Permit
I PROPERTY LOCATION: tw /n
ISSUEDTO: tiL� Jy �iLS X2 G SUBDIVISION
NEW; REPAIR El EXPANSION ❑ Site Improvements 4611ired prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Ty e: u 9-4ZJ A-�
Projected Daily Flow: t ala GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yesplo
Pump Required: ❑Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public ❑ Well Distance from well feet Permit valid for.ive years
Permit conditions: ❑ No expiration
Authorized State Date: "IM9 //b SEE ATTAINED SITE SKETCH
The issuance of this permit the ealth Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. Thu
site is subject to revontio 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, .19S2, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shill be installed in accordance
With the attached system layout
ISSUED TO: PROPERTY LOCATIObj
r SUBDIVISION f -t/ LOT #
Facility Type: cSJY IQ New Elxpansion ❑ Repair
Basement? ❑ Yes No B�asenent fixtures.? ❑ Yes o
Type of Wastewater System** ZS: (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) d /
Z� `u��✓L12d'1--- (Repair)
Installation Requirements/conditions Number of trenches 41
Septic Tank Size 17,00 gallons Exact length of each trench /149 feet
Pump Tank Size ,I Z,06 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH 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 (IN(LUDING 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
�Z inches total
**If applicable: / ondeataad the system type specified it different from the type spedled on the application. / accept the spedbcations 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 no be transferred when there is a change in ownership of the site. This
tonstmtthon Authorization IS subject to Compliance with the provisions of the Laws and Rules hr Sewage Treatment and Dismal and to the conditions of this permit DCC AI IAIntU Nit 311111.11
Authorized State ent: Z Date: V/119///—
Construction
ag /Construction Authorization Expiration Date: 9 a-
HTE# 377a b
Harnett County
Permit # 2—%070
Depailinent of 1'�tblic Health
Site Sketch
/1 PROPERTY LO(ATON: ZS /Z/J
ISSUED TO: G ) jod Ciao u4i C SUBDIVISIO I LOT # 8
Authorized Stat � Date: glAg //&
/Ivn ?6W4 D/L
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISPPE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Date Evaluated:
Proposed Facility:
Design Flow (.1949):
Location of Site:
Property Recorded:
Water Supply:
❑ Public[] Individual ❑ Well
Evaluation Method:❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater.
❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
.1940
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
landscape
Position/
Slope %
4Depth
iq
.1941
Consistence
Min eralo
1942
Soil
Wetness/
Color
.1943
Soil
W.
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
7,
%i
a3
6. ur1 P
's.n
'7- Z
. Y
3
5-&
L
D-27
[5
G`/ xrs?J
ta,
L
5
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available S ce (.1945) Evaluated By:
System T s 1' Others Present:
Site LTAR