IPACHTE# 1-7 S - ti I c1^T I Harnett County Department of Public Health 29393
Improvement Permit
A building permit cannot be issued with only an Improvemeen Perm' r�
rJm as PROPERTY LOCATION:Z,x.J
ISSUED TO'rJ 6 Y Z
' T* �'C SUBDIVISION _��, Pa�� LOT # cl
NEW REPAIR ❑ EXPANSION ❑ Site Improvem tts required prior to Construction Authorization Issuance:
Type of Structure: -3 A�P:a
Proposed Wastewater System Type: 2.5% n e d
Projected Daily Flow: C f 8'0 GPD
Number of bedrooms: �-t Number of Occupants: max
Basement ❑Yes LTNo ��
Pump Required: ❑Yes El No L3"Ma' required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 13 Public ❑ Well Distance from well feet Permit valid for: I3 Five years
Permit conditions: ❑ No expiration
Authorized State gene` Date: (0-/5-1-7 SEE ATTACHED SITE SKETCH
The issuance of this 'pemit e Ne th Department in no way gua , ntees 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 t - e 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
she laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Buildinp Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .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: Ts4-tc PROPERTY LOCATION: 60'12-1 CQ.o L.,itad J 2�
SUBDIVISION id-v�� Ttn-,X LOT # _
Facility Type: EVINewExpansion ❑ Repair
Basement? ❑ Yes No Basement Fixture? Yes WNo
Type of Wastewater System** ZS"?v <'SieV-X (Initial) Wastewater Flow: Cif"8o GPD
(See note below, if applicable ❑)IF
Z-`D�o (Repair)
Installation Requirements/Conditions Number of trenches 75
Septic Tank Size /%v o gallons Exact length of each trench 1.3 b feet
Pump Tank Size /20 D gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 7V inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. 1 --inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
r inches below pipe
inches above pipe
inches total
**If applicable: / oadeataad the tyrtem type spec/led it different from the type rpeciled on the application. / accept the fpeciflcationr o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it the site plan, plat, or the intended use changes. The Construction Audioriaa6on shall not be transferred when there is a change in ownership of the site. This
construction Authorization is
Authorized
with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: (0- /3-/']
Construction Authorization Expiration Date: (. --/;5_7-7,
HTE# /7-S- L(N9-1
Harnett County
Permit # -29_--3 9 3
Department of IlUblic Health
Site Sketch
ISSUED TO:,J N /� rs� PROPERTY LISION
��/ �/�-..nom �� SUBDIVISION
Authorized State
�j
A'
Date: le — / 3 — t
LOT #
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:
Address: V1 DEvaluated: vVm „
Proposed Facility: �5-z i Design Flow (A949):y9Z,
Location of Site: Property Recorded:
Water Supply: Z Public❑ Individua ❑ Well
Evaluation Method:❑ Auger6�Barin�� Pit ❑ Cut
Type of Wastewater: ��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
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
6 Z"
sL
aanv6
ZjL&P
76)
Description Initial Repair System Other Factors (.1946): y�{
System,, Site Classification (.1948): f S
Ava
S213—a— Evaluated By: v�'
yhers Present:s.
1945)
Site LTAR