IPACHTE# /to — 5=317 57 Harnett County Department of Public Health 29168
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
CC PROPERTY LOCATIONS 6p7"5c
ISSUED TO J H D SUBDIVISION NGW 14" 7�e-- s LOT #
NEW EPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: w n'( 4-
Proposed Wastewater System Type: 2 S n'4-' RA-4yc-k-u ,
Projected Daily Flow: ala GPD
Number of bedrooms: 3 Number Occupants: max
Basement ❑Yes No
Pump Required: []YesF-1No May be required ed on final location and elevations of facilities �//
Type of Water Supply: ❑ Community ❑ Public Well Distance from well /UU feet Permit valid for. L1 Flve years
Permit conditions: ❑ No expiration
Authorized State ent:: ` Date: / :4:— / 7 SEE ATTACHED SITE SKETCH
The issuance of this permit b e Jlealth 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 revawtion p 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 Buildine Permit
The mnstmcoon and installation requirements of Rules .1950, .1957, .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: � 11A A/0 PROPERTY LOCATION: c2v JC5,0y- zZ�� gy)
/SUBDIVISION 0`J A-0 -;ZS LOT #
Facility Type: �ZW� ry (4 0 New ❑1� Expansion El Repair
Basement? El Yes �No Basement Fixtures? El Yes E o
Type of Wastewater System** 7S'*lo RE-D0C�Zp%L d5 f rte_ (Initial) Wastewater Flow: .3(,6 GPD
(See note below, if applicable EI)
Z.`za(Ttod— I (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size /6400 gallons Exact length of each trench12,E feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Zl—;� 11§ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t. TDM vs. GPM
Conditions:
Trench Spacing:Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE IOFT. 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
inches total
**If applicable: / understand the system type spec/fed is different hum the type specified on the app/kation / icrnpt the speulcationr 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 Compuction Authorization shill 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 SEE ATTACHED SITE SKETCH
Authorized State ADate: /-7
/�' Construction Authorization Expiration Date: I —Zy-- Z.Z
HTE# _� - t;- 39 -7 $77 Permit # -2 6 /�r� 8
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: /g% s�C 1i A zrA
ISSUED TO: /j'A f21 d6& SUBDIVISION I�Jl—/f 'w j z,�,I y LOT #
Authorized State A nt: Date:
�x rsfz�J�
n,�
0
0,^v
�fL troy l%�P50" A
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: /—P 7
Proposed Facility: %'� h!T'�' Design Flow (.1949):3--�
Location of Site: / r_nS Property Recorded:
Water Supply:�" Public❑ Individual 0—Well
d:(_)
Evaluation MethoAuger B�� ❑ Pit El cut
Type of Wastewater: '[J 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.)
SOB. MORPHOLOGY
.1941
OTHER
-PROFRE FACTORS
Profile
Class
& LTAR
.1941
Structure)
Texture
.1941
Consistence
Mineralo
.1942
Soil
Wetness/
Color
.1943
Soil
th IN.
.1956
Sapro
Class
.1944
Resn
Horiz
L_
zq-49
L/° -4 Z'
A.
Y
c 6
6-2z
22 _q3
Lraa,�sn.
3s-yo°3
Description Initial Repair System Other Factors (. ] 946)-
System
46):S stem Site Classification (.1948):1
Available Space (.1945) Evaluated By:< -j--
S stem T e(s)-at, A� Others Present:
Site LTAR .ar