IPACHTE# h _S_
o I s Harnett County Department of Public Health 29366
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
/�' PROPERTY LOCATION:— 11111!2- ��2 � i � �D
ISSUED TTP/✓ �/y J Cosaasdn L at_ SUBDIVISION /� c �� LOT # 275
NEW Ev 'REPAIR ❑ EXPANSION ❑ Site Improve nn required prior to Construction Authorization Issuance:
Type of Structure: 5F-4>
Proposed Wastewater System Type: 2S ,6
Projected Daily Flow: ci Z3 6 GPD
Number bedrooms: moo_' Number of Occupants: Pi max
Basementt ❑Yes � No :3/
Pump Required: ❑Yes ❑ No L3f M be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: Dive years
Permit conditions: ❑ No expiration
Authorized State n!L �` /fF ,J/1�6 �7ji—Date: Y— l % SEE ATTACHED SITE SKETCH
The issuance of this permit by yte, alth Department in no way guarantees the issuance of otter permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if i e 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 (tis permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1956. 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: -Z;1� PROPERTY LOCATIOk5f J1127
SUBDIVISION Ile LOT # Z 3
Facility Type: 9 New ❑/Expansion ❑ReRe%pa'
Basement? ❑ Yes No Basement Fixtures? Q Yes allo
Type of Wastewater System" ��fL�o�iia � � � � (Initial) Wastewater Flow: i �3 C) GPD
(See note below, if applicable ❑),
(Repair)
Installation Requirements/Conditions Number of tr es
Septic Tank Size / D gallons Exact length of each trench feet Trench Spacing:feet on Center
Pump Tank Size %/!C1 gallons Trenches shall be installed an contour ata Soil (over: inches
Maximum Trench Depth of: /6—%Z— inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/•1/4" 36" above the trench bottom)
n all directions)
inches below pipe
inches above pipe
�Z inches total
Pump Requirements: ft TEN vs. GPM
Conditions:
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.
*If applicable: / undeahnd the system t}pe spec/hed it different hvm the type specified o# the app/icadon. / accept the speciGcationr 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
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 Stateq—t Z-1
�� Fh1 -✓� ate: —if
Construction Au horit zatlon Expiration Date: L4 — 2-
HTE#�7 S-y/O/;�_ Permit # 253&(�_
Harnett County Department of 1- iiblic Health
Site Sketch
PROPERTY LOCATON V2_5' /00
ISSUED TO: Z%I A, A.J C'ZWJa "";t7n� SUBDIVISION LOT # Z3
Authorized
3v
Date: � —/7 —/ 7
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: (,t}Y" ��� �7
Address: Date Evaluated: �`•• - �1r 7
Proposed Facility: Design Flow (.1949):
Location of Site: Property Record
Water Supply: Public❑ Individu ❑ Well
Evaluation Method -E] Auger Bo - g Pit ❑ Cut
Type of Wastewater: ftZSewage ❑ 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
Mineralogy
,1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
%%ys
ia+
iyx.
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945) 11 1 Evaluated By:
System Type(s) Others Present:
Site LTAR L