IPACHTE# s _,370°5^ Harnett County Department of Public Health 29065
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO:.GLlalwJ �I>w-alp _SUBDIVISION LOT #
NEW REPAIR [I EXPANSION ❑ Site Improver is required prior to Construction Authorization Issuance:
Type of Structure: .5r -:Z-)
Proposed Wastewater System Type: ZS% L
Projected Daily Flow: 4,313 GPD
Number of bedrooms: Number of Occupants: a max
Basement []Yes E7110 �
Pump Required: []Yes ❑ No Ma ee required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L13 Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
Authorized State A
The isuance of this In
site is subject to revoc
the laws and Rules for
Date:
Lid rive years
❑ No expiration
SEE ATTACHED SITE SKETCH
ris talth 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
e sde 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 previsions of
Treatment and Disposal and to conditions of this permit.
Construction Authorization
Recruited 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 accordance
with the attached system layout 4
,, /
ISSUvC/e-f,. J w5'/?J�jG PROPERTY LOCATION: A- XIY75
/ SUBDIVISION -19�zz& LOT # / 4
Facility Type: 2 New ❑ xpansion EJRepair
Basement? ❑ Yes No Basement Fixtures? El Yes la
Type of Wastewater System** ZSR 110A 11 W� —marts IT -W -t (Initial) Wastewater flow: GPD
(See note below, if applicable ❑)
ztz�� (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size —11� gallons Exact length of each trench leo feet Trench Spacing: Feet on Center
Pump Tank Size / � T gallons Trenches shall be installed on contour at a Soil Cover. inches
Pump Requirements: h. TON vs.
Conditions:
Maximum Trench Depth ofi ZO ) /G inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(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.
to inches below pipe
inches above pipe
inches total
**If applicable: l understand the system type specified a different from the type specified on the application. / accept the spedlicadons of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorindon 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
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for sewage Treatment and Disposal and to the conditions of this permit At RI IAI.ntU )Ile IRMO
Authorized State ent: Date: 5-30 '1
Construction Authorization Expiration Date: 5-3e) ' 2/
HTE# 3 S e o 5' Permit # ZS'D 4* SJ
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON Z " e,'
ISSUED TO: X,-~ SUBDIVISION LOT # -4
3
Authorized State t: Date: S `A�l li%
IWI)
�P7) 6STlzw64rl- 7Z�)
e5
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: l5ate Evaluated:
Proposed Facility: Design Flow (.1949)(( o
Location of Site. �,,� Property Recorded:
Water Supply: �1iJ rublic❑ Individual E3 well
Evaluation Method:❑ Auger Boring It ❑ Cut
Type of Wastewater: -EI-Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horirun
Depth
(In.)
SOH. 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
L�
� -tl
CNP
,�((✓J,7r�
If -1 L
�l�
%Pw�
Z
L j"
0-18
tl
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): f�
Available Space (.1945) Evaluated By: �\ di of -c-,
S stem Type(s) L Others Present:
Site LTAR Y • y