IPACHTE# — --3 —7 Harnett County Department of Public Health 29073
Improvement Permit
A building permit cannot be issued with only an Improvement P
9 / PROPERTY LOCATION-O'W—ZJlSermi
ISSUED TO. 4,/
�J SUBDIVISION LOT #
NEW fzr REPAIR ❑t EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: dsr v
Proposed Wastewater System T e: Z
Projected Daily flow: ((J GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ae required based on final location and elevations of facilities
Type of Water Supply. El Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
1s five years
❑ No expiration
Authorized Sta Date: / D - S —t Co SEE ATTACHED SITE SKETCH
The issuance of this permitt Health 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 i ie 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 BuildingPermftt
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met. Systems shall be installed in accordance
with the attachedsystemlayout -/
ISSUED TO: //(N�ev+�Yl�- 6A4- � %� PROPERTY LOCATION:5ra--Z.'7U 5 /�i -�/�—� Q 1`-7-1
C �� SUBDIVISION LOT #
Facility Type: cJ Ll New� Expansion ElRepair
Basement? El Yes No Basement Fixt res? ❑ Yes L/J No
Type of Wastewater System** y(-rl—y - (Initial) Wastewater Flow: Y86 GPD
(See note below, if applicable ❑)
n:F—y t Lac -k_._ (Repair)
Installation Requireemen Concon i'Number of trenches 2
Septic Tank Size /�/v gallons Exact length of each trench 15-6 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of 16 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. 4 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.
fP inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type speciled is different from the type spealed on the application. / acrept the sper/lcationJ of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authonzation 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
(onstruction 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 Stt MIAMI) Slit MtILH
Authorized St A 'ZD� ae: 149 -S-- Ao
Construction Authorization Expiration Date: /O -S-ZI
HTE# I h- 7los? Permit # 2 S c)% 3
Harnett County Department of Public Health
Site Sketch
ISSUED TO: l/^7L1 A'�4sf
Authorized Sta[e.A�cpt' �--» Z
PROPERTY LOCATON:251 72Zf'T- tq— ,e, C�
SUBDIVISION LOT # I
Date:
5� ZZs �"� ►�G''� /� �
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 Evaluated: `�'�
Proposed Facility: �: Design Flow (.1949)'
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:Lf Auger Bow' g ❑ Pit ❑ Cut
Type of Wastewater: U 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%
Horizon
Depth
(in.)
SOH. MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
Profile
Class
& LIAR
.1941
Snucturet
Texture
.1941
Consistence
Mincialogy
.1942
Soil
Wetness/
Color
.1943
soil
Depth R4.
.1956
Sapro
Class
.1944
Restr
Horiz
3
N�
Description Initial Repair Sys Other Factors (.1946):
S ste Site Classification (.1948):
Available Space(. 1945) Evaluated B
System Type(s) Others Present:
Site LIAR ,�