IPACHTE# /-7-s= K ZO E5-7 Harnett County Department of Public Health 29614
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit—
PROPERTY "
PROPERTY LOCATION /�„E�J 4—v [ .cs
ISSUED SUBDIVISION.t�11�78_ r LOT # 4
NEW REPAIR ❑ EXPANSION El Site ImproverAents required prior to Construction Authorization Issuance:
Type of Structure: .50=1�5
Proposed Wastewater System Type:?f �M/rz0,12�_�
Projected Daily Flow: IlLdZ LTJ GPD
Number of bedrooms: Number a Occupants: �maz
Basement ❑Yes No
Pump Required: Dyes ❑ No Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Five year
Permit conditions:
❑ No expiration
Authorized State A G i a9a� Date: r —/� SEE ATTACHED SITE SKETCH
The issuance of this permit Health Department in no way guarantees the issuance of other permiu. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to reroaan i 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 in compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and in conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references inm this permit and shall be met Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: 07;4-3G—,1
a61,r"i�. o �e
PROPERTY LOCATIONS
c
2'/
SUBDIVISION
i LOT #35
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixt y ❑ Yes ❑ No ))�, � �/ ^
Type of Wastewater System" ��� �� -& c�L uT_,�e �T>�(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) /
kr0 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size O O gallons Exact length of each trench 300 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 18 inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: —�i— Feet on Center
Soil Cover. inches
(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
7012:;-7 inches total
"If applicable: / understand the system type speciled is different hum the type speciled on the app/intron. / accept the specifMionf 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 State � �Z-V�Date: 2— / —/ %
Construction Authorization Expiration Date: 5'—1 —02—
HTE# 1 —7 g2PePermit # 1= 7&1/
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATOt��l�i���
ISSUED TO--5-22Ute/ TiJG SUBDIVISION _ LOT #
Authorized State A nt Z�r^( , Date: 5—/—/7
pa
3�
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On -Site Wastewater Section Lot #:
File #:
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 5 )
Address: \ Date Evaluated: �1
Proposed Facility: 5 -�—yam Design Flow (.1949): d --3e (. r 7 Property Size:
Location of Site: Property Recorded:
Water Supply:❑'public❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method:❑ Auger Bo g ❑Pit ElCut
Type of Wastewater: -Sewage ❑ Industrial Process ❑ Mixed
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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
L402
524
Sl-
/115P�
21-1b
50
' P
�`' y f�
7, 7,
3
Lyvo
o o
1,
%sry�
Description Initial Repair S Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945) Evaluated B
System Type(s) Others Present:
Site LTAR