IPACHTE# (? S 9 o y ss- Harnett County Department of Public Health 29186
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
�� �" PROPERTY LOCATION: ¢r
ISSUED T0�%�TA� 13 �r +az'2S L SUBDIVISION /y�'t/ Z -t /Lo �GVt—+� LOT #
NEW Ii( REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Ty e:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: Lr max
Basement ❑Yes LAS No
Pump Required: []Yes ❑ No M a required based on final location and elevations of facilities
Type of Water Supply:
Permit conditions:
❑ Community Public ❑ Well Distance from well feet
Permit valid for.
LA rive years
❑ No expiration
Authorized Stat ent: Date: y — y — / :7 SEE ATTACHED SITE SKETCH
The issuance of this permit 4 t� Health 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 revoc; the site plan, plat or the intended use changes. The Improvement Permit shill 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, .1951, .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 TQ_S%Izi14" :Z;O L PROPERTY LOCATION: 52-Y- -7/*S AQ ,? -s f'?'D
SUBDIVISION /yLiR f�cds G��6— LOT #
Facility Type: 5�� Z New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Base enc Fixtur�/5.7� ❑� �Yes ❑ No
Type of Wastewater System'" ��7CG�FJ7lis� �f�.ST�z (Initial) Wastewater Flow: 3(4=) O GPD
(See note below, if applicable O) f ' Z,t—��Q�
� Gpair)
Installation Requirements/Conditions[ umber of trenches
Septic Tank Size _-ZL' 0 gallons Exact length of each trench e4Q feet Trench Spacing: Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour fat a Soil Cover. riches
Maximum Trench Depth of: _�_ inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: h. TON vs. GPM
Conditions:
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
7 inches above pipe
/L inches total
*`If applicable: / understand the system type speciled it different from the type speciled on the app/icadan. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it the site plan, plat or the intended use changes. The Construction Authorisation shall not be transferred when there is a change in ownership of the site. This
Lonstrumon 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 Xt AI IAR.tItU Mit )RUL"
Authorized State enc a e: Cy' -It -/7
Construction Authorization Expiration Date: k --q-- L7
NTE# "U HS.S Permit # 29 1 `a iv
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON LS(oS
ISSUED TO:.5 e;s—C SUBDIVISION /i�LOT #
Authorized State Age /�At7✓/.r6 rt ,0' Date: Ll — �{ — 1�
f
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address:
Date Evaluated:
Proposed Facility:
Design Flow (.1949):
Location of Site:
Property Recorded:
Water Supply:
❑ Public[] Individual ❑ Well
Evaluation Method: El Auger Boring ❑ Pit ❑ Cut
Type of Wastewatcr:
C1 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mmeralo
.1942
Soil
Wetness/
Color
.1943
Soil
N1.
.1956
Sapro
Chis
.1944
Restr
Hona
Profile
Class
& LTAR
SL
��/Cl¢ K NS•✓
s
Description Initial Repair System Other Factors (.1946): —7
System Site Classification (.1948): /1
Available —Space (.1945) /Evaluated By: �.. /
System Type(s)— Others Present: — v
Site LTAR - 'S