IPAC RNTE# 9 1Iy 3)F\ Harnett County Department of Public Health 29376
hDrovement Permit
A building permit cannot be issued with only an Improvement Perm
PROPERTY LOCATIONe-50220)5--A
ISSUEDTO 1r SUBDIVISION AChwjl lea ,o sem Idi e ft �,� LOT At
NEW REPAIR ❑�-� EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater W
Projected Daily FlowGPD
Number of bedrooms:Number of Occupants: max
Basement Dyes
Pump Required: ❑Yes ❑ No ❑ MaAe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
u rive years
❑ No expiration
Authorized StafeAg CAy1 Date: S-- (�p — / "1 SEE ATTACHED SITE SKETCH
The issuance of this permit th lealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate goveming bodies in meeting their requirements This
site is subject to revoati a 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 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 .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall he installed in accordance
with the attached system layout A
ISSUED TO: CU ,�,�, � PROPERTY LOCATIO
SUBDIVISION > LOT # S"
Facility Type: Gd' New El/expansion ❑ Repair
Basement? ❑ Yes NoBasement Fixtures? ❑ Yes No
Type of Wastewater System** %`D (Initial) Wastewater Flow: GPD
(See note below, if applicable EI)
4V � fZA4tit ;§y 6 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size I C66 %gallons Exact length of each trench 3 0t> feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 1 c' L a ches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
Inches below pipe
inches above pipe
1Z inches total
**If applicable• / understand the sweet type tperihed it diNerenl /rote the type tperi9 or on the app/icatiW. / accept the tpecilcationt o/ thit permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it the site plan, plat, or the intended use changes. The Conswction Authorisation shall not be transferred when there is a change in ownership of the site. This
Cunsvuction 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��4T Date:
Construction Authorization Expiration Date:
HTE# I%—S-L411437, Permit # �2q 3 lto
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON,::,�t ZZIS ' ►cv�yy
ISSUED TO: �P,�� IY/ Azez++..��% SUBDIVISION 1a�f.Qr�. LOT #
Authorized State
(o'Nkah 511" Wa,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SO1USITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:(rj-•�-�^'�' �G,�
Address: Date Evaluated: eJ'
Proposed Facility: �,.[/v Design Flow(. 1949):36«0
Location of Site: dd �/ Property Recorded:
Water Supply: a Public❑ Individual ❑ Well
Evaluation Method: ❑�XugerBoring ❑ Pit ❑ Cut
Type of Wastewater. EKewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
Description Initial Repair Sy tem Other Factors (.1946):
S st Site Classification (.1948): PS
Available S ce (.1943 Evaluated Bytom
S stem T s Others Present: /•/1'„
Site LTAR
P
R
O
F SOIL MORPHOLOGY
1 .1940 .1941
OT}IER
-PROPTIE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(mJ
.1941
Structure/Consist®ce
Texture
.1941
Mmaalo
1942
Soil
Wetness/
Color
.1943
Soil
Ih IN.
.1936
sap-
Class
.1944
Restr
Hona
Profile
Class
& LTAR
7 -AO
%-C
k.�lc�
Description Initial Repair Sy tem Other Factors (.1946):
S st Site Classification (.1948): PS
Available S ce (.1943 Evaluated Bytom
S stem T s Others Present: /•/1'„
Site LTAR