IPACHTE#/'/—S jVn975' Harnett County Department of Public Health 29353
hDrovement Permit
A building permit cannot be issued with only an Improvement Per"
/ �1/ PROPERTY LOCATIOht::W YY� S
ISSUED TO- A� oeij& CaY�� SUBDIVISION T LOT # , Q
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: —01i
Proposed Wastewater System Type: /n IZ2—t1..�
Projected Daily Flow: L4 R6 GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes lier No
Pump Required: []Yes ❑ No Ma required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. 2 -Five years
Permit conditions: ❑ No expiration
Authorized State a' Date: �/ / Z —/ 7 SEE ATTACHED SITE SKETCH
The issuance of this permit a Health Department in no way guarantees the issuance of other pertain. TM1e permit holder is responsible far cheding wish appropriate governing bodies in meeting their requirements. This
site is subject to revocati 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 Saws and Rules for Sewage Treatment and Disposal and m 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 T042 M& B//�:YO 6j PROPERTY LOCATION: VI"r ozzk�S "r—Z
tSUBDIVISION 0�5 LOT # Jrec,_
Facility Type: E71 New ❑l� Expansion El Repair
Basement? I] Yes No Basement Fixtures? El Ye l� No
Type of Wastewater System** (Initial) Wastewater Flow: 0 GPD
(See note below, if applicable ❑) Q
LP�`/�J (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size IZOQ gallons Exact length of each trench �^5� feet
Pump Tank Size ___ZJ6)0 gallons Trenches shall be installed on costa r at a
Maximum Trench Depth of: /y inches
(Trench bottoms shall be level to +/-I/4"
in all directions)
Pump Requirements: (t. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
kinches below pipe
Aggregate Depth: ,7 inches above pipe
1,7—— 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: / understand the system type specified is different Imm the type specified on the app/icatioa / accept the specifications o/this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revomtion if the site plan, plat, or the intended use changes. The commotion Authorization shall 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 StateA rat: G p 7—
Construction Authorization Expiration Date: —1Z —ZZ
HTE# l7- 5 Ll 09 -7 S -
Permit # 29 3 5?,r
Harnett County Department of Public Health
Site Sketch
�� , ��/ PROPERTYLISION v /��J
ISSUED T0: 7T'"��j`� SUBDIVISION LOT #
Authorized State A �ZDate: Z L7
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: u�
Address:
if Date Evaluated: 4{-{L9—fC7
Proposed Facility:
A'C4*:, Design Flow (.1949):
Location of Site:Property
Recorded:
Water Supply:
/ ublic❑ Individual El Well
Evaluation Method: Auger Bo ' g ❑ Pit ❑ Cut
Type of Wastewater: wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
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
.y
Description Initial Repair Syst Other Factors (.1946):
System Site Classification (.1948): ��jj$$
Available Space (.1945) Evaluated B
System Type(s) Others Present:
Site LTAR