IPACHTE# I1:�- clt)%j3 1 Harnett County Department of Public Health 29362
Improvement Permit
A building permit cannot be issued wi�onlyangentt�PROPERTY LOClNSISSUED TOiI M �ti K3 tare a( SUBDIVISION LOT #
NEW REPAIR 0%(_, XPANSIQ ❑ Site Improvements required priorqD Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 2,5"';1, ��
Projected Daily flow: Q B a GPD
Number of bedrooms: �tqt"-- Number of Occupants: ca max
Basement Dyes Ld No J/
Pump Required: ❑Yes ❑ No 2M2, be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community rid Public ❑ Well Distance from well feet Permit valid for. Z Five years
Permit conditions: ❑ No expiration
Authorised State A r.: " Date: �a —1 SEE ATTACHED SITE SEETCH
The issuance of this permit 6 the ealth Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting [heir requirement. Tho
site is subject to rerocanon it t e site plan, pla4 or the intended a:e flanges. 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 requirement of Rules .1950, .1957, .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 attachedsystemlayout.
ISSUED T0: /lyy yf D*k5 13IE)(. /��� PROPERTY LOCATION: ,r�Q�/t- V
SUBDIVISION R k 5 l�k � LOT # V(�
Facility Type: Ld New ❑ Expansion ❑ Repair �—
Basement? ❑ Yes No Basement fixtures? ❑ Yes No
Type of Wastewater System** ZS%?��iJtyZer�—Sri,S�Ya�_ Ln�a , � (Initial) Wastewater Flow: L180 GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 1 Zv o gallons
Pump Tank Size /jao gallons
Pump Requirements: ft TDH vs.
Conditions:
Exact length of each trench NOO feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: I— inches
(Trench bottoms shall be level to +/_1/4"
in all directions)
GPM
Trench Spacing: 7 Feet on Center
Soil Cover. �nches
(Maximum soil cover shall not exceed
36' above the trench bottom)
inches below pipe
Aggregate Depth:inches above pipe
�Z— inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable: / ondentand the system type speciled it different from the type specified on the apphranon. / accept the spec/!cations 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
wmrmamn nnmUraamon m anmlett m
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 _' /'L"i iC�G' Date: &—b'f 7
L1Construction Authorization Expiration Date: (C — CA - Z L
HTE# 1-7 �094_
� Permit # ? 9 � (0 2
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State
v
t -C) U
PROPERTY LOCATON:c ,/yy
2�QSUBDIVISION _ LOT #
Date:
614-cl
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOL/SITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:��
Address: Date Evaluated: (9"1'
Proposed Facility: Design Flow (.1949): 3/p.Z
Location of Site: Property Recorded:
Water Supply. - O'ublic❑ Individual ❑ Well
Evaluation Metbod: Auger Boring ❑ pit ❑ Cut
Type of Wastewater: -0'Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
Description initial
Site Classification (.1948):
Evaluated By:
Others Present:
P
R
O
F
I
L
E
p
Land
Landscape
Position/
Slope %
Horizon.1942
Depth
(In.)
SOIL MORPHOLOGY
OTHER
PROFILE FACTORS
.1941 .1941
Structure
Texture Miaerelo
Soil
Wetness
Color
.1943
Sor7
th IN.
.1956
Sapro
Class
.1944
Restr
Hon
Profile
Clans
& LTAR
Description initial
Site Classification (.1948):
Evaluated By:
Others Present: