IPACHTE# lJ:) yo«3 Harnett County Department of Public Health 29183
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit /
/ PROPERTY LOCATION: �. S `l i CA-rUS c-,)ccx c c tin � , (-IJ
ISSUED T0: T�C'7_�CP,/ r3 � / �C�S SUBDIVISION L0�
NEW f� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z�
Projected Daily Flow: 3 /a -d GPD
Number of bedrooms:Number Occupants: max
Basement []YesNo
Pump Required: ❑Yes ❑ NoM e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized St gent:• ,-' / / (&51AAeGL Date: / -/"3 -17 SEE ATTACHED SITE SKETCH
The issuance Gf4 ri'mitJ the dth Depamt in nenno way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate goweming bodies in meeting their requirements. This
site is subject to revoati site plan, plac 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, .1952, .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: fkxs-a— LS/®4< PROPERTY LOCATIO )V 4 C3-&sd-. rtO
BON OT #
Facility Type: L�0 New Expansion ❑ Repair
Basement? [I Yes No Basement Fixtures? 11 Yes Na
Type of Wastewater System" LS% T��o cS2 es La 47(r� (Initial)
(See note below, if applicable ❑)
�ti (Repair)
Installation Requirements/Conditions Number of trenches �3
Septic Tank Size _/b U O gallons
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
Exact length of each trench / o O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 1 Z--> IS inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Wastewater Flow: �3(00 GPD
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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
inches above pipe
/ Z inches total
**If applicable: / undevstand the sistem type spedbed is different from the type spe6fled on the application. / accept the specification 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 tmnsfemd when there h a change in ownership of the site. This
construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE AIIALHED SIZE SKETCH
Authorized Stat 4� Date: 2 -ti L?, — i
Construction Authorization Expiration Date: Z-- L43
HTE#J its = 0(OG S Permit # -c=291603
Harnett County Department of Miblic Health
Site Sketch
PROPERTY LOCATON 5-40'7
ISSUED TO: SUBDIVISION LOT
Authorized State A g: +� Date: a -7_Q,— I i
s't>
ys'
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:''
Address: Date Evaluated: %
Proposed Facility: Design Flow (.1949): '�(y�
Location of Site: ���� Property Recorded:
Water Supply: �/JPublic❑ Individual ❑ Well
Evaluation Method:AugerBon ElPit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
L
E
#
.1940
landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Suvcture/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth(IN J
.1956
Sapro
Class
.1944
Restr
Horiz
12
Cy
O-y
SL
�+lCs.cr�ro
ZZ-bLI
6— I o
SL
G
15-4
ati
Tagus.('-
Y_Z'"
Ly{,"�
0 o
St_
0 -ileo
9-t
110 VI a I
Description Initial Repair System Other Factors (1946):
System Site Classification (.1948):
Available Space (.1945) 11 Evaluated By
System T e(s) Others Present: ��
Site LTAR .-3 �'&
3