IPACHTE# ��—� Ll1 d I `v Harnett County Department of Public Health 29367
ImWrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONST I—A
ISSUED TV SUBDIVISION 4-7f2� l/T—z� LOT #
NEW 0 REPAIR 11 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater TO
Projected Daily Flow: GPDf�Number of bedrooms:Numbe of Occupants: 54 ,max
Basement ❑Yes 4—
Pump Required: ❑Yes ❑ No Ma,Y'�a required based on final location and elevations of facilities ��
Type of Water Supply: El Community Q Public El Well Distance from well feet Permit valid for. L7 Five years
Permit conditions: ❑ No expiration
Authorized State Ageg_—, Date: �4—/ 7 —/'7 SEE ATTACHED SITE SKETCH
The issuance of this permit by a IA 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 revocation if the site pian, 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 taws 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 .1958, .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 TO: /,)/ .f J Ol »liter �y��� �� PROPERTY LOCATION: igil 1(17-
SUBDjVISION LOT # Z-7
Facility Type: Ei/ New ❑/Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes EVNO
Type of Wastewater System** 25'j�n kam-_�i-->. -S;i4S' (Initial) Wastewater Flow: Y96 GPD
(See note below, if applicable ❑#p
T -ten 2i i2,�2(Repair)
Installation Requirements/Conditions JNumber of trenches _ s q
Septic Tank Size / 207G gallons Exact length of each trench �_ feet Trench Spacing: / Feet on Center
Pump Tank Size /4zo y gallons Trenches shall be installed on contour at a Soil Cover. inches
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: Zo 70 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(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.
2` inches below pipe
�— inches above pipe
inches total
**If applicable: / understand the rystem type spedfyed is different from the type speciled on the app/kation. / accept the specilcalons of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is 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
Wnstruction 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 State AgeDt: - �z D �/ -/ Z -t7__
Construction Authorization Expiration Date:
HTE# / — 111ol w Permit # -.29 36 Z
Harnett County Department of Nblic Health
Site Sketch
PROPERTY LOLATON
ISSUED TO: 4,/y� AR) Ca T C SUBDIVISION LOT # 27
Authorized
Date: �(—/Z -17
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: I%y A/AJ
Address: Date Evaluated: 1(-11-17
Proposed Facility: f T ` Design Flow (.1949):&ftp
Location of Site: ,A� Property Recorded:
Water Supply: blic❑ Individu�a ❑ Well
Evaluation Method:❑ Auger Bo Lr it ❑ Cut
Type of Wastewater: Ljr 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
.1943.1956
Soil
Depth IN.)
Sapro
Class
.1944
Restr
Horiz
2
3rtP
/�'
83• I
o
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945) Evaluated By: r `
System Type(s) Others Present: V .
Site LTAR