IPACHTE# /4-5--35$3Z Harnett County Department of Public Health 29086
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
Ml�, PROPERTY LOCATION: fCV & D )! 3
ISSUED TO- S — tl"` 1C ��V"—_' GS SUBDIVISION Dmf-vi.fJ tAtTOv9f2S LOT #
_ NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1--) F)�5
Proposed Wastewater System Type: 25—"1 r-L--cR
Projected Daily Flow ' i GPD
Number of bedrooms: _5 Number of Occupants: max
Basement ❑Yes 210
Pump Required: E]Ife's ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Er—Public ❑ Well Distance from well feet Permit valid for. CTFive years
Permit conditions: ❑ No expiration
Authorized State A tit —/ - (/�'` Date: /ii -7y —/(, SEE ATTACHED SITE SKETCH
The issuance of this Permit b he ealth Department in no way guarantees the issuance of other permia The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation a me 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 prevision of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirement of Rules .1950, AM, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in ac(ordam
with the attached system layouts s
ISSUED TO: �/' tttirrtL-�rJi�x e' PROPERTY LOCATION: �t 100 4,D 12 S'7>er3 rM
��— SUBDIVISION 0)CF7,T" CJ'C -!)5 LOT #
facility Type:, R -New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes 011111 -
Type of Wastewater System** 2-4v A -a I-S—L' a i (Initial) Wastewater Flow: 3C" GPD
(See note below, if applicable ❑) "
- y lk) I -S (?e-,eO (Repair)
Installation Requirements/Conditions Number of trenches 1-3
Septic Tank Size lea gallons Exact length of each trench aJ feet
Pump Tank Size /Dov gallons Trenches shall he installed on contour at a
Maximum Trench Depth of: 2-7--) / e' inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: iC TOM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil (over. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
` inches below pipe
Aggregate Depth: 2 inches above pipe
ry inches total
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.
**If applicable, / understand the s}rtem type speriled is different fivoi the type specified mr the app/icalon. / accept the specilcations o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Authomation is subject to revocation if the site plan, plat or the intended un changes. The Construction Authorisation shall not be transferred when then u a change in ownership of the site. This
lnnstne[lon 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 SEE AI IACHLD SITE SKETCH
Authorized State Agent Date: /u- Z'r
Construction Authorization Expiration Date: f o
HTE# 3583> Permit # L209(�
Harnett County Department of Public Health
Site Sketch
PROP N.
ISSUED T0: 7
S ' � I / 2M," SUBDIVISION e (A% X,6 zJ -P 0 S LOT #
Authorized State A Date: 0 1 L`f —� 6
-4( l� n) .5r -Sp� i�C�l Z;-) 4) (f 1)1cA- 191 ,
V 1 - wy
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Applicant: 5v� /&—is- /C
Address:
Date Evaluated: A6 7J—,1&
Proposed Facility:
Design Flow (.1949):--.3"
O
Location of Site:
Property Recorded:
Water Supply:
Q -Public❑ Individual ❑ Well
Evaluation Method:�er Boring ❑ Pit ❑ Cut
Type of Wastewater:
[,I -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
&. LTAR
.1941
Structure
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Restr
Horiz
� i2
L•Ks2
p. Z p
SL
W
{�-
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s)
Others Present:
Site LTAR