IPACHTE# Ila— S— YOJ Harnett County Department of Public Health 29158
Improvement Permit
A building permit cannot be issued with only an Improvement LOCATION: -5;e Permit
�� /J PROPERTY LOCATION:/SYS mss{ s
ISSUED TO: Lc 4d /d/e-4d&I r 0>)Z'0 P.y SUBDIVISION TSP LOT #
NEW ❑ " REPAIR 111 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: PWrki4
Proposed Wastewater System Type: Z5"%
Projected Daily flow: 3&_0 GPD
Number of bedrooms: �3 Number of Occupants: G max
Basement Dyes L� No
Pump Required: ❑Yes ❑ No IJ Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Q Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
13 Five years
❑ No expiration
Authorized Staterat: Date: /% — Z5 — /G SEE ATTACHED SITE SKETCH
The issuance of this permit t 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 in revocatia 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 Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .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: )z.wPz PROPERTY LOCATION: �(v ee-5(-s /44
Ji SUBDIVISION LOT # /°
Facility Type: 7-)Wr CKA iJ New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2r No Basement Fixtures? ❑ Yes 21ho
Type of Wastewater System*" ZS %a f2it/LTZpn,) Sys 155._ (Initial) Wastewater Flow: 0 GPD
(See note below, if applicable ❑)
P/)/3 S (Repair)
Installation Requirements/Conditions Number of trenches Z-
SepticTank Size IO96 gallons Exact length of each trench /Zo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. ZYi/2 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: feet on Center
Soil Cover. 4� inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: T inches above pipe
/Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable• / onderrtand the system type .rperiled it different from the type rpedfed on the application. / arrept the fperileationr of this permit
Owner/Legal Representative Signature: Date:
This construction Authormation is subject to revocation if the site plan, plat or the intended use changes. The Construction Audmrrtation 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 ltt AI IACHtU lilt lKtICH
Authorized State Ag Z /r Date: / Z - ZS --/ G
Construction Authorization Expiration Date: /Z—Z3 - z- I
HTE# & — s y63 60
Harnett County
Permit # Z % / S-8
Department of Public Health
Site Sketch
PROPERTY LOCATON: SI 1 Jy6, let-, %—+ ,rA
ISSUED T0: ci�iF �,? /'(fig; -Z Jyd7 SUBDIVISION TS? LOT # !a
Authorized State
Date: /Z - ZS - !G
el � �
� ��`'
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOI /SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 607" Z'
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:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
SOB
Wetness/
Color
.1943
Soil
Depth W.
.1956
Sapro
Class
.1944
Restr
Hotiz
sdP
y -1d
�.rsti
I b'3rus P.
z�-boa
Z, 3
_rj4f
-3o
s�
r�,tasaP
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): (/�l
Available Space .1945 Evaluated By: I/
S stem T s Z Others Present:
Site LTAR LC I• 1