IPACHTE# -S-38111 Harnett County Department of Public Health 29072
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
� ` PROPERTY LOCATION: -;J7 /5'7/o z c1 dl�ts
ISSUED TA 6 fJ SUBDIVISION LOT # I_
NEW REPAIR ❑ ERPANS ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 157% jt6��L4Z1f�
Projected Daily Flow: 3 Coo GPD
Number of bedrooms: --,� Number Occupants: 6_max
Basement ❑Yes Q No
Pump Required: ❑Yes ❑ No Ma a required based on final location and elevations of Facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Ag/ Y Date: .�V -/G SEE ATTACHED SITE SKETCH
The issuance of this permit 4 th leahh Department in no way guaranies 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 Returns 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, .1953, .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 T0: 6U PROPERTY LOCATIONS 9V-JS/(o x(v-711fso5f�— rd)
SUBDIVISION LOT # I—
Facility Type: �� New CyExpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? El Yes p'No
Type of Wastewater System— s*%d1;�.5d-rtrr— (Initial) Wastewater Flow: �Zf(ec2s GPD
(See note below, if applicable ❑)
—7Sa/o„! U C U-)- (Repair)
Installation Re uirements/Cond' * ns Number of trenches
Septic Tank Size gallons Exact length of each trench / 6cr7 feet Trench Spacing. Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. nches
Maximum Trench Depth of: 27 111, inches
(Trench bottoms shall be level to +/-1/4”
in all directions)
Pump Requirements: h. TUN vs. _ GPM
Conditions:
(Maximum soil cover shall not exceed
36" above the trench bottom)
`F' inches below pipe
Aggregate Depth: _Z inches above pipe
inches total
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.
**If applicable: / understand the system type speciled it different /rom the type spedfed on the app/icaron. / accept the specilcacionr 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 he transferred when there is a change in ownership of the site. This
construction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the mndmons of this permit acc Ri tRa.ncu n h c amcta.n
Authorized Stat enc Date: !' 3A ' 10
Construction Authorization Expiration Date: 5-76 —71
NTE# /—) Permit # g-)0-72
Harnett County Department of Public Health
Site Sketch
/ PROPERTY LOCATONa't—/S'/Co<., Q jOAJS�.dZJ3
ISSUED TO:cS� �7>++5� (9U� SUBDIVISION c� LOT #
• �X
Authorized State Age Date: l —3d ^14-
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJStTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Date Evaluated:
Proposed Facility:
Design Flow (.1949):
Location of Site:
Property Recorded:
Water Supply:
❑ Public❑ Individual ❑ Well
Evaluation Method: E] 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
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
L
E
#
Landscape
Position/
Slope Yo
Horizon
Depth
(mJ
.1941
Structural
Texture
.1941
Consist®ce
Mmeralo
.1942
Soil
Wetness/
Color
.1943
Soil
I IN
.1956
Sapro
Class
.1944
Rem
Horiz
Profile
Class
& LTAR
o3
C 5
�)NQ
\0,)cz-7)vz (2-3Q
, 3
a 40
Sg)L C_
.5) -e
.13
�-2
c
?1- O
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: