IPACHTE# & -5-- 3y 00G Harnett County Department of Public Health 29067
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONZ-,t- IV711 pxs�/Z.
ISSUED TO:,L) &&F4 =-JZ SUBDIVISION LLt A Lt LOT # 2T
NEW REPAIR El EXPANSION ❑ Site Improveme s required prior to Construction Authorization Issuance:
Type of Structure: z- P
Proposed Wastewater System Type:
Projected Daily Flow: 2a GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes o
Pump Required: ❑Yes ❑ No171;M be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Vfrve years
Permit conditions: ❑ No expiration
Authorized State t: Date: �-3o—/ ( SEE ATTACHED SITE SKETCH
The issuance of this permit b Health Department in no way guarantees the i..ar a of other person. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if 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, .1957, JM, .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: l ,�I flti�;i,,VJ Jf l — :;54 PROPERTY LOCATI N: FSL)NZq
/e SUBDIVISION LOT # -Z
Facility Type: 5.� 21 New M -Expansion ❑ Repai
Basement? ❑ Yes No q _Basfsent Fixt s? 13 Yes Li'No
Type of Wastewater System ' 1� ) dl bmr rzv S �c k2 (Initial) Wastewater Flow: yy GPD
(See note below, if applicable ❑) 0 /
ZAv(v 111Repair)
Installation Requirements/Conditions Number of trenches 5—
Septic Tank Size I ?z�U gallons Exact length of each trench /oa feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ZD 4 f(7 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. 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 LOFT. 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
inches total
' If applicable: / undeatand rhe ryrtem type rpeabed /r d, 10 Jrom the type rperiled on the app/ication. / aCrept the fpenhcatioar o! lhir permit
Owner/Legal Representative Signature: Date:
This Construction Aufforiaadon is whim to rerantion d the sire plan, phut mr the intended use changes. The comtruchon Aurhorl u n shall not be transferred when there h a change m ownership of the site. This
Construction Authorization is
Authorized State
with the provisions of the Laws and Rules for Sewage Transient and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: g -3o -14o
Construction Authorization Expiration Date:
HTE# ���� 3%�6 Permit # 2(30(o---)
Harnett County Department of Public Health
Site Sketch
/— PROPERTY LOEATO V 2n
ISSUED T0: ,, , J C�iJS%Il U , CSUBDIVISION LOT #
Authorized State
If
LAP
It lit
to
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluatc6
Proposed Facility: Ir— Design Flow (.1949): K PO
Location of Site: / Property Recorded:
Water Supply:Public❑ individual ❑ Well
Evaluation Method: aAtrger Boring ❑ Pit ❑ Cut
Type of Wastewater: [LSewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
.1940
SOIL MORPHOLOGY
.1941
O'rI�
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineral.
.1942
Soil
Wetoess�
Color
.1943
Soil
IN.
.1956
Sapm
Class
.1944
Resir
Horiz
Profile
Class
& LTAR
t�
L_ Z-1
b-fy
y -sr
(w so
I t"s P31
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Type(s)2, Others Present:
Site LTAR y