IPACHfF# I %-5= 43oPF Harnett County Department of Public Health 29637
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit.
�� f r PROPERTY LOCATION /57et %�.��r
ISSUED7TO- b fJ 977%c SUBDIVISION LOT # 7—
NEW
NEW LVl REPAIR ❑ E PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:x�
Proposed Wastewater System Type: �[s/
Projected Daily Flow: UPD
Number of bedrooms:— Numb of Occupants: _max
Basement 0es Cd No
Pump Required: ❑Yes ❑ No �M �be required �sed on final location and elevations of facilities
Type of Water Supply: ❑ Community Cd Public f3 Well Distance from well CO r feet Permit valid for, (?'Five years
Permit conditions:
❑ No expiration
Authorized St enc: f Date: L —/ — / lb SEE ATTACHED SITE SKETCH
The issuance of this perm y t Iealth Department in no fay guarantees 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 revoca 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
(Required for Building Permit)
The construction and installation requirements 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 mcordana
with the attached system layout
ISSUED TO: ODD" l PROPERTY LOCATION: f
SUBDIVISION LOT # 7—
Facility Type: NewExpansion ❑ Repair
Basement? ❑ Yes No Basem t Fixtures? ❑� es Cil No q
Type of Wastewater System** 'I� /C Sic — ffti few/ (Initial) Wastewater Flow 3� GPD
(See note below, if applicable ❑) OF
,^
(Repair)
Installation Requirements/Conditions Number of tpfnches
Septic Tank Size ,J AP80 gallons Exact length of each trench 00 feet Trench S acin : Feet on Center
Pump Tank Size gallons Trenches shall be installed an contour ata Soil lover. inches
Maximum Trench Depth of: I V inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: (t. TUN vs. GPM P inches below pipe
�— ' Aggregate Depth: L inches above pipe
Conditions: � 4—T = inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SWTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / ur7deatand the ryrtem type rpeciped it different from the type speciTed on the app/icatian. / accept the rpecipcationf of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocetion 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 enc: ! )4�, Date: Z-1 — I Q
Construction Authorization Expiration Date: 2-1 --2 3
HTE# ) %-5 ^ "1 301 y Permit # o225 C 3 7
Harnett County Department of Public Health
Site Sketch //��
/ /�� PROPERTY LOCATO�/��/ /0,D
ISSUED TO: (�/J a �j � SUBDIVISION LOT # Z
Authorized
�a
B
tt5
Date: 2 — I —' 8
I
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*L 15&4 6� ab
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: eeqq
Address: Date Evaluated: o
Proposed Facility: Design Flow (.1949):
Location of Site:�,/ Property Recorded:
Water Supply: �eublic❑ Individual [I Well
Evaluation Method:��ger Boring ❑ Pit ❑ Cut
Type of Wastewater: 91-99wage ❑ 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
Minerslogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
5L
'3
I two
L
a-zY
Description Initial air Sys[em Other Factors (.1946)-
System
946):S stem Site Classification (.1948 .
Available Space (.1945) Evaluated By
System Type(s) Others Present:
Site LTAR