IPACHTE#/la-5 =°� Harnett County Department of Public Health 29066
hDrovement Permit
A building permit cannot be issued with only an Improvement Permi /��
/ , A PROPERTY 11CATION/%%3
ISSUED TO:h')zeo 1 qhs 0%-s 747-` L SUBDIVISION
NEW F3' REPAIRS EXPANSION ❑ Site Improrelj rats required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: Y -C' GPD
Number of bedrooms: ��T Number of Occupants: max
Basement ❑Yes B No J/
Pump Required: ❑Yes ❑ No I� Ma required 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 State ent:: Date: �j-3iJ—/ (n, SEE ATTACHED SITE SKETCH
The issuance of this pet mit 0 lealth 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 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Pump Requirements: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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
inches above pipe
inches total
**If applicable: / understand the system type specified it different /ram the type specified on the app/icatfut / accept the specifications 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
eonstmcuon Authonzanon is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. act AI IALHtl/ 5111: 3RUILM
Authorized State A t ate:
Construction Authorization Expiration Date:
Construction Authorization
Required for Building Permit)
The construction and installation requirements of Rules .1958, .1951, .1954, .1955, .1956..1951, .1958. and .1959 are incorporated by references into thus permit and shall be met. Systems shall be installed in accordance
wish the attached system layout.
ISSUED TO: PROPERTY LOCATI0N3it /y7,9
SUBDIVISION -A/f
LOT # Zy
Facility Type: S
New ElAfpansion ❑ Re Ir
T
Basement? ❑ Yes No
Basement Fixtures? ❑ Yes 2 No
Type of Wastewater System**
2S% ji-13�d :�'`35 ism
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
2� J2eA..Gf lT.i-,
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1:704
gallons Exact length of each trench 40 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-. 90'a/ G inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4"
36" above the trench
in all directions)
/bottom)
!O
Pump Requirements: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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
inches above pipe
inches total
**If applicable: / understand the system type specified it different /ram the type specified on the app/icatfut / accept the specifications 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
eonstmcuon Authonzanon is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. act AI IALHtl/ 5111: 3RUILM
Authorized State A t ate:
Construction Authorization Expiration Date:
HTE# l�o s 3`jDS� Permit # ZSOIGG
Harnett County- Department of Public Healtb
Site sheteli
' \ PROPERTY LOCATON /YZ
ISSUED TO: SUBDIVISION _ p LOT # 26
Authorized State
Date: 9-,30-/,6
F,➢
w��
j
36
51 Jae, 6i
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant: L,L
Address: Date Evaluated: S�u� �Yg6,��
Proposed Facility: Design Flow (.1949):
Location of Site: JJJ Property Recorded:
Water Supply: Public❑ Individual E] Well
Evaluation Meth od:�J Auger Bo g Lr Pit E]Cut
Type of Wastewater: Sewage ❑ 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.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Restr
Horiz
I
L
oy
5A� taw_
3
o_)g
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1946):
Available Space (.1945) Evaluated By:
System T e(s Others Present:
Site LIAR