IPACHTE#7� Y Z Harnett County Department of Public Health 29069
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
/ , / PROPERTY LOCATIO
ISSUED TO: A24.4/A.41waltza F- x�5 SUBDIVISION LOT #3
NEW REPAIR El EXPANSION ❑ Site Improvem is required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: --
Projected Daily Flow GPD
Number of bedrooms: Number of Occupants: 91 max
Basement []Yes o
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ No O'May 0 required based on final location and elevations of facilities
❑ Community Public ❑ Well Distance from well feet
Permit valid for.
ve years
❑ No expiration
Authorized Sta Date: %— J0 - I rr SEE ATTACHED SITE SKETCH
The issuance of this permit the ealth 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 in revoatiaCdAltlf 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 Deposal and to conditions of this permit..
Construction Authorization
Required for Building Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 an incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: �b,[�J�SI ii1u3 �7t1 [_ i z. G+j L PROPERTY LOCATION:
SUBDIVISION LOT #3i/
Facility Type: cS Lfb New E;/Expansion ❑ Repa
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** 7 S `��y /ILc�o C f"Lv� �?rt� t3 �_ (Initial) Wastewater Flow: y GPD
(See note below, if applicable ❑)
Zby% (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size / 200 gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: ft. TON vs.
Conditions:
Maximum Trench Depth of 2114 I to inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: l Feet on Center
Soil Cover. !(� inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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
^�2 inches total
**If applicable: / m#deataod the .ryrtem type specified it different from the type spec fed on the app/irrdom / atrept the rperitf ationc o/thir permit.
Owner/Legal Representative Signature: Date:
This constructors Authorization is subiect to revoation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change m 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 IRIntU NIC MOO
Authorized Stattr—� r� Date: S -30-6(0
Construction Authorization Expiration Date: 5 -3 a -vi'l
HTE# A — 5--:5� Permit # Z SU U/, S
Harnett County Department of F' iblic Health
Site Sketch
ISSUED T0:
Authorized State
Date:
Date:
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIASITE 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:[] Auger Boring ❑ Pit ❑ Cut
Type of Wastewater. ❑ Sewage ❑ Industrial Process
Sheet:
Property ID: r 6e-'
Lot #: �q,Qr,
File #: r��-v�
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
q
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minendogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapm
Class
.1944
Restr
Horiz
Ij
/6 3Y
Q4,1 14 -
5pt s eP
3'1
t�
Dw
ls'- 6
G61 4d.)`
Yy
3
L
0-1
ta>~
Description Initial Repair System Other Factors (.1946):
Systeny Site Classification (1948):
Available Space(. 1945) Evaluated By: �t r -
S stem Type(s)boll Others Present: — /L-•
Site LTAR ✓