IPACHTE# -789 Harnett County Department of Public Health
29079
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:�Sh� aCa�at.4 160
ISSUED Tqr�-�/6ec L�¢-a SUBDIVISION LOT # 3—
NEW f REPAIR 11 EXPANSION 11Type of Structure:
Proposed Wastewater System Type: 25w
Projected Daily Flow 34 A-� GPD
Number of bedrooms: Number of Occupants: _max
Site Improvements required prior to Constroction Authorization Issuance:
Basement []Yes Rr No
Pump Required: ❑Yes ❑ No LE MM be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
/Five years
❑ No expiration
Authorized State Date: /O -l'7-1(✓ SEE ATTACHED SITE SKETCH
The issuance of this permit bHealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation i 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 subiett to compliance with the provisions of
the laws and Rules for Sewage Transient and Disposal and in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirement of Rules .1950, .1951, .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
ISSUED TO: C fyzo# // tG'f;eR/2S PROPERTY LOCATION.. (, % Gtts
/ SUBDIVISION LOT # 3
Facility Type: �0 x- 13 New� Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? 11 Yes Q%lt
Type of Wastewater System" a y S f -F,- (Initial) Wastewater Flow: -90'0 GPD
(See note below, if applicable m
11-610— (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size6� Q D gallons Exact length of each trench !J O feet Trench Spacing. Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: ZZ -> IS inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft TON vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
Z inches above pipe
/L inches total
"If applicable: / ondeutand the system type spedGed it different from the type specified on the app/Kation. / adept the JpeciiMigfif of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject of revocation if the site plan, plat or the intended use changes. The Construction Authors ation shall not be transferred when there is a change in ownership of the site. This
LonstmNon Authorization is subject to compliance with the prafrou of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Date: D -17' / Tv
Construction Authorization Expiration Date: /a-17- ZI
HTE# �� �� �� 7 8 S
Harnett County
Permit # 27� 6—]
Department of Public Health
Site Sketch
�/ PROPERTY LOCATON:�'C/5�/� ��5 � AQ
ISSUED TO:—FW/C.3— ®y/y mil SUBDIVISION LOT # _
Authorized State Date: 7
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ONSITE WASTEWATER SYSTEM
A -
Owner: Applicant:"X'�A�r �0
Address: Date Evaluated: 10 -
Proposed Facility: Design Flow (.1949):��
Location of Site:�,� Property Recorded:
14
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Bong Pit ❑ Cut
Type of Wastewater: Ld Sewage ❑ Industrial Process
Sheer.
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mined
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
O•F}iER
-PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralo
.1942
Soil
Wetness/
Color—Depth
.1943
Soil
W.
.1956
Sapm
Class
.1944
Restr
Hartz
Profile
Class
& LTAR
t--
D • 40
Z
i
0
-3
-36, Isct
&,-
SC (.
W SSr
1. ,
40 teZ'.
Description Initial Repair System Other Factors (1946): .�
System Site Classification Avad B ):
ilable Space(. (.1945) Evaluated By: i
S stem Type(s) Others Present:
Site LTAR ,6—> k14