IPACHTE# Ei s 4o1.2-7 Harnett County Department of Public Health 29184
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 0 2 177 c X b
ISSUED T0: ��F�SJ� / �t $ c SUBDIVISION LOT # Sie
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: bI—Is
Proposed Wastewater System Type: ZS% C..2e.-e-411v —
Projected Daily Flow 1.6 GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes No
Pump Required: Dyes ❑ No M be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for. five years
Permit conditions: ❑ No expiration
Authorized Sta ent: rn f 6 Date: 2_ 7% - SEE ATTACHED SITE SKETCH
The issuance of this permit the alth Department in no way guarantees the issuance of other permits. The permit holder is responsible for cheding with appropriate governing bodies in meeting their requirements. This
site is subject to revocetio = 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 requirement o1 Rules .1950, .1951, .1954, ASS, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the atuched system layout
ISSUED TO: 5 f31 PROPERTY LOCATION: SLIYa 4 k"p tr-"
SUBDIVISION LOT # 3 Q
Facility Type: Y New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes EPNo
Type of Wastewater System** Z25'?S TZJG? uc7Z4r;1) (Initial) Wastewater Flow: � GPD
(See note below, if applicable ❑)
(Repair)
Installation
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench /20 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 2Z ->f, inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
15)
Trench Spacing: Feet on Center
Soil Cover. �nches
(Maximum soil cover shall not exceed
36' above the trench bottom)
6 inches below pipe
Aggregate Depth: Z inches above pipe
/L inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / onderf and the ryrtem type specified it di&mot from the type Jpec/fied on the app/kation. / accept the soecilrMlionJ of this permit
Owner/Legal Representative Signature: Date:
This Commission Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there h a change in ownership of the site. This
tomtm[non Authorization is subject to compliance with the provisions of the Caws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
N'S
Authorized Sta Date: Z' 2 8 —/ 7
Construction Authorization Expiration Date: Z -1S - Z7
HTE# ��%—S L{17%Z—� Permit # .2919Y
Harnett County Department of Public Health
Site Sketch
3 PROPERTY LOCATON: 6)f -/Y03 �? t�
ISSUED TO:J%��Sr� /J�/ s JW --SUBDIVISION LOT #
Authorized State
5p Iyo3 44,�,a
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: 45 e -%—
Address: `psi Date Evaluated: Z•Z?-!7
Proposed Facility: pt— t_)� Design Flow (.1949): _q4 ,b
Location of Site:,-,� Property Recorded:
Water Supply: G rublic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: [a -Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
SiteLTAR .K
WLr
� • �c`d
LL s
rte-
� s.P.
'7 -i
�Z_4 t4
Description Initial
Repair System
Other Factors (.1946):
System
Site Classification (.1948): T'S
Available Space (.1945)
Evaluated By: fT
V L--
System T e(s) t,ite.-
Zy�
Others Present:
SiteLTAR .K
WLr