IPACHTE# I:1 -s- 40 88 Harnett County Department of Public Health 29199
Imarovement Permit
A building permit cannot be issued with only an ImprovementPermit/ ' - �,, s�
�" ' ,,// � t / PROPERTY LOCATION: �7jS'7d� JAY OCA clwyo , /c L
ISSUED TO �F�r.*-ac /10�ra 4- Aae, �a" SUBDIVISION LOT #
NEW l ? REPAIR ❑� EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ZSV6
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No W 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 Stat enc "elzJii Date: 3-751— 1ith appropriate govSEE ATTACHED SITE SKETCH
The issuance of this permit y t lsalth Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking werning bodies in meeting their requirements. This
site is subject to revocatioi the 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, .1953, .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: A4 Ary -,- r PROPERTY LOCATION:Z3f
(J SUBDIVISION LOT #
Facility Type: Csd New Expansion ❑ Repair
Basement? ❑ Yes N Basement Fixtures? ❑ Yes UZO
Type of Wastewater System** (a : +2S_yi, (Initial) Wastewater Flow: 3GL) GPD
(See note below, if applicable ❑) �y
(Repair)
Installation Requirements/Conditions 0 Number of trenches 9
Septic Tank Size 06-0 gallons Exact length of each trench 16a feet Trench Spacing: ( Feet on Center
Pump Tank Size_ gallons
Pump Requirements: h. TDM vs.
Conditions:
Trenches shall be installed on contour at a
Maximum Trench Depth of: 2-V inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Soil (over. 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.
cr inches below pipe
2 inches above pipe
inches total
**I( applicable: / ondmiland the s}rtem type speciled is different hvm the type speciled on the app/icatian. / accept the rpecilcationr of this permit
Owner/Legal Representative Signature: Date:
This Comtmction Authorization c 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 Authonzation is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and m the conditions of this permit. ILL AI IALHLU 1111: 1KLILH
Authorized Stated-0Date: 3 3 1— 1 7
Construction Authorization Expiration Date: 3 — 3 1—L Z
HTE# I1 -s— 4oa(BZ Permit# Z1f 199
Harnett County Department of 1-�-tblic Health
Site Sketch
J /A PROPERTY LOCATON:��Sf k_C/�'d—
ISSUED TO'��z+ °1 -�.e. / r%' /3 1 Q( �IBDIVISION LOT # —7
Authorized
ate: 3 • 31 - in
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:3-74:j�- t —7
Proposed Facility: Design Flow (.1949):
Location of Site: ,_,/ Property Recorde ,�
Water Supply: �� 2 Public❑ Individual �wetl
Evaluation Method:Lff uger Bo ' ❑ Pit ut
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
.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
l I Z
U
8
Y Ct�t� .
�nCa.�/'
Description Initial Repair System Other Factors (.1946):
S st Site Classification (.1948): ^l�
Available Space (.1945) Evaluated By:
Sys Type(s) Others Present:
Site LTAR v