IPACHTE# ��-S �i��17z Harnett County Department of Public Health 29164
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
J �2"/
PROPERTY LOCATION:SR2°p- �icic�Ls�J�I/I✓�.%�
ISSUED TO- /lt-4e5 SUBDIVISION �/Ps i 0 -4,-r- LOT # c3_
NEW F3 REPAIR ❑ a EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F --t>
Proposed Wastewater System Type: 25'i, 11 R-CAJI_OL.
Projected Daily Flow: 3 c e o GPD
Number of bedrooms: 3 Number of Occupants: '+" max
Basement ❑Yes QTNo
Pump Required: ❑Yes ❑ No f3 Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community f9Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
❑ Five years
❑ No expiration
Authorized State Age£tG=.-..P Z /y��}j✓. 4f&Z Date: /-/t /7 SEE ATTACHED SITE SKETCH
The issuance of this permit by a Rohs Department in no way guaantees 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 ifa 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 pmvisions of
ws
the laand Rules for Sewage reatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, ASS, .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: , s c . 1112!�,X /��/Ju S PROPERTY LOCATION: RM Z00'5;7
Or SUBDIVISION C�1es2G Jf LLS- LOT #
Facility Type: d56D Ld New EIExpansion ❑ Repair
Basement? ❑ Yes Ed No Basement Fixtures? ❑ Yes 2'No
Type of Wastewater System**ZS%12�1�11CSt oyJ �c.�} R (Initial) Wastewater Flow. 3(o0 GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /'V 0 D gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. finches
Maximum Trench Depth of. 30-3a /8 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TDH vs. GPM
Aggregate Depth:
Conditions:
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.
_ inches below pipe
Z inches above pipe
inches total
**If applicable: / ondeatand the syatem type speabed is different from the type specified on the app/icadvi l accept the rpecilcationr 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
with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SITE SKETCH
Authorized State Ag ' ---.r :� w "� X/ Date: / — a & —t 7
Construction Authorization Expiration Date: /— y 'A -L7
HTE# /(,,'S—Noy-7Z
Permit # �) '� / 6
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATONjr�k/. 2005 /3 ckA,. Il iL A
ISSUED TO: s m� LS SUBDIVISION LOT #
Authorized State Agejotti S Date: / — / £? — 17
i _-
So' /
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Department of Environment Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSTFE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: I - f 1 - 7. 77
Proposed Facility: ,j- � Design Flow(. I949):_T&6
Location of Site: Property Recorded:
Water Supply. Public❑ Individual ❑ Well
Evaluation Method:0 Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Utewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
.1940
Landscape
Position
Slope %
Horiwa
Depth
(net.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
profile
Class
& LTAR
.1941
Stmenm!
Texture
.1941
Consistame
Mm
,1942
Soil
Wetness/
Color
.1943
Soil
.1956
Sapro
Class
.1944
Resu
Horiz
S-1
(
30- YD
L
o- 3 6
k
rt 6 rz. tie
"i Z..
y
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948):-- j
Available Space .1945 / Evaluated By: j
System T s f z Others Present:
Site LTAR 4