IPACHTE #1 ��� _ �t / y 56 Harnett County Department of Public Health 29392
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION --k I Z z! Gli rHC, f,�__C51- 0.4'�a
ISSUED TO: G,JM Cewilr--c SUBDIVISION LOT#
NEW 5K 1 REPAIR ❑ EXPANSION ❑ Site Improvesr� required prior to Construction Authorization Issuance:
Type of Structure: 75_fF �
Proposed Wastewater System Type: Z
Projected Daily Flow: / '2D-7) GPD
Number of bedrooms: Number of Occupants: $ max
Basement ❑Yes
Pump Required: []Yes ❑ NoLS�Maaee required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L�f Public ❑ Well Distance from well feet Permit valid for: 2Five years
Permit conditions: ❑ No expiration
Authorized State A :: G tom` Date: {o—/ 3 -17 SEE ATTACHED SITE SKETCH
The issuance of this permit h) a Health Department in no way guarantees the issuance of other permits. The permit holder is responsible lar checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation the 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 this permit..
Construction Authorization
squired for Building Permit)
The construction and installation requirement of Rules .1950,
.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 T0: C4%a.v.J %rjy3�l
PROPERTY LOCATION:
SUBDIVISION
LOT # (4 Z
Facility Type:
New Expansion ❑ Rep it
Basement? ❑ Yes No Basement Fixtures? ❑ Yes L7No�J
Type of Wastewater System" 2-T-2&
(Z -A_IA , l --c„— $,f6t-taL.
(Initial) Wastewater Flow: q AZ�) GPD
(See note below, if applicable ❑)
_
(Repair)
Installation Requirements/Conditions
Number of trenches
'S
9
Septic Tank Size 1200 gallons
Exact length of each trench (P feet
Trench Spacing: L Feet on Center
Pump Tank Size /Z" gallons
Trenches shall be installed on contour at a
Soil Cover: inches
Maximum Trench Depth of _�7 U inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4"
36' above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs.
GPM
inches below pipe
Aggregate Depth: _2 inches above pipe
Conditions:
/Z-- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the iestem type specified it different /rom the type specited on the app/icatim.. /accept the spedhi;2nom 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
Authorized State
Construction Authorization
and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: 3 - <7
(tion Date: ,--,r 3 - Z/G-
HTE# / 7_ S— Y/ x/90
Permit # -.N 3 9 2—
Harnett
Harnett County Department of l'nblic Health
Site Sketch
PROPERTY LOCATON:,5UYZ'3 C .�-�a �G /Q/�
ISSUED TO: u.��J�,r `GucAz/� J z,� SUBDIVISION ✓ LOT # —Y
Authorized Stateen/ t: Date:
Y
IDD
)� �ujpa-/�rc
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: ,' /(''j /J '
Address: �w GDate Evaluated: if L - 1
Proposed Facility: T/� I ,) Design Flow(. 1949){��
Location of Site: �1-�/� Property Recorded:
Water Supply: ,�� I�Public❑ Individual ❑ Well
Evaluation Method:a Auger Boring 5 Pit ❑ Cut
Type of Wastewater: D-!�ewage ❑ 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
�
� 4
o-jd
5i-
ts>•.cP
JA
L,3
L���
y- y8
5r3�,
yL r
3
Description Initial Repair Sy em Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated B .
System Type(s) Others Present:
Site LTAR y ,