IPAC RHTE# (Z'S'-Z4ZS(oq Harnett County Department of Public Health 29157
hDrovement Permit
A building permit cannot be issued with only an Improvent Permi /�(
yyj PROPERTY LOCATION: l eml l /2 c n/IL
ISSUED TV G�E}%iGit N /' L �It%GT�/} SUBDIVISION LOT # Z
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: I�cJ/Vv!-F
Proposed Wastewater System Type: 25 C.c
Projected Daily Flow: If 00 GPD
Number of bedrooms: ki Number of Occupants: _max
Basement []Yes //1Z No
Pump Required: [dyes ❑ No ❑ Maybe required based on final location and elevations of facilities _/
Type of Water Supply: ❑ Community d Public El Well Distance from well feet Permit valid for. f/ nve years
Permit conditions: ❑ No expiration
Authorized State nt:� Date: i Z — ZO -/(� SEE ATTACHED SITE SKETCH
The issuance of this permit by t 1 falth 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 it fpKute 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 Building Permit)
The cnnstmction and installation requirements of Rules .1958, .1953, .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: .4-)11 A' Ai ffl4 >C-rA PROPERTY LOCATION:n 1:1I A; PJ "la.,
SUBDIVISION LOT # Z
Facility Type: hW,4A-A (' 0"New ❑ Expansion ❑ Repair
Basement? ❑ Yes El" No Basement Fixtures? ❑ Yes AD
Type of Wastewater System** 7"D lb 17"ct)yc-' ZIA(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) J
Z 2 /4i'>1IL.it01J .SaxSflr- (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size / Zoo gallons
Pump Tank Size /7,00 gallons
Pump Requirements: h. TON vs.
Conditions:
Exact length of each trench 3 Coo feet
Trenches shall be installed on contour at a
Maximum Trench Depth of:9iµ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. 1 --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
7 inches total
**If applicable• / understand the tyrtem type rpeciffed it different from the type rpecifred on the application. / accept the rpecilcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization 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 Stt AILACHED SITE )KETCH
Authorized State Age Date:
v Construction Authorization Expiration Date: / Z -7o — Z /
HTE# / Z - S— 29 2-5411
Harnett County
Permit # 19 / 5%
Department of Public Health
Site Sketch
PROPERTY LOCAT(
ISSUED TO: A) A e^ r,!-1 SUBDIVISION
Authorized State
/A 4 -o
w
LOT # Z.
Date: / Z— Z -o -/G
sn,,i,l an;vkla� rm
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site `VastewaOr Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility:Design Flow (.1949):34
Location of Site: / Property Recorded:
Water Supply:� 2fublic❑ Individual E] Well
Evaluation Method:rrtuger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(1n.)
.1941
Structure/
Texture
.1941
Consistence
Mineralo
.1942
Soil
Wetness/
Color
.1943
Soil
th IN.)
.1956
Sapm
Class
.1944
Resor
Horiz
Profile
Class
& LTAR
o -(Y
5(,
FKlia�2sJC
s�
4 3r
Se—e,e
�3S�S.l'
28' 7.'4-
3•
r
�
28
3
1 a'
o• ({
t
Cin-✓ s, 1
w
T=/
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): (f
Available S ace (.1945) Evaluated By:
s stem T c(s)25ve. z 'Oio Others Present:
Site LTAR y