IPACHTE#I-7-5= 945477 Harnett County Department of Public Health 29355
Imurovement Permit
A building permit cannot be issued with only an Improve) sent Permit
PROPERTY LOCATIOM 5-
ISSUED TD�aW /D Q�/�G �p/t�ni SUBDIVISION LOT # .
NEW f� REPAIR 1-1 ❑ Site Improvements required prior to fan uction Authorization Issuance:
Type of Structure: v/—ice
Proposed Wastewater System Type:
Projected Daily Flow: 3490 GPD
Number of bedrooms: Number of Occupants: W max
Basement ❑Yes
Pump Required: Dyes ❑ No El Ma a required based on final location and elevations of facilities _ //
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Eklive years
Permit conditions: ❑ No expiration
Authorized State ent: L Date: tf —r2 X17 SEE ATTACHED SITE SKETCH
The issuance of this permit gg e th Depamnent in no way guarantees tM1e issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revoatio�j(Jhe'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 prorniom of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Building Permit)
The concoction and installation requirements of Rules .1958, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed in accordance
with the attached system layout. y1"�'" Q��"
ISSUED TO;��//l /�/���n/J SUBDIVISION OCATION• w ,� ,
1177 LOT #
Facility Type: �� 3 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 910-�
Type of Wastewater System** Arz--- (Initial) Wastewater Flow: 36Z GPD
(See note below, if applicable ❑)
—422��M(Repair)
Installation Requirements/Condition s Number of trenches
Septic Tank Size �/ gallons Exact length of each trench feet
Pump Tank Size _� gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ,/$ n inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: Feet on (enter
Soil (over. T 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 SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
5�--- inches below pipe
Z— inches above pipe
inches total
**If applicable, / understand the system type sped6ed is different from the type speabed on the app/icadon. / accept the speeifcationr of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revoadon if the site plan, plaq or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. Thu
Construction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to theconditionsof this permit SEE ATTACHED SITE SKETCH
Authorized State ent: ate: 1.,f —f &--f 7
Construction Authorization Expiration Date: C( —Ito,— ZZ
HTE# / :2— � 4 09
Permit # 2 '1 3 S S
Harnett County Department of Public Health
Site Sketch
7 / PROPERTY LOCATOW.Z— 1YY8 AfrZN�
ISSUED T0: KIJG� ��f��/fC�2/e77�/ SUBDIVISION ,/ Tom? L/Y�.(i� LOT # 3E
Authorized State ��G p' (�9r l� t�Date: — / Z —/17
MWiIIM
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: n(I
Address: Date Ev-gypProposed Facility: CJ Design : 3�,p
Location of Site: J Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: uger Boring ❑ Pit ❑ Cut
Type of Wastewater: [;,$t wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1946
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Stmcturet
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
N7
a22S�
u�.
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948
AvailableSpace (.1945) Evaluated
S tem T e(s) Others Present:
Site LTAR