IPACHTE# I —L1413 b Harnett County Department of Public Health 29960
Improvement Permit F�
A building permit cannot be issued with only an Improvement ermitt
�e�� _ _ / / PROPERTY LOCATION:
ISSUED T0: e�F e SUBDIVISION LOT # J_
NEW 2" ---REPAIR ❑ EKPM N ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow:3fa d GPD
Number of bedrooms: — Number of Occupants: max
Basement []Yes L'l No ��
Pump Required: ❑Yes ❑ No El a required b Wd on final location and elevations of facilities
Type of Water Supply: ❑ Community Public Well Distance from well /&6-` feet
Permit conditions:
Permit valid for. Olive years
❑ No expiration
Authorized State A e issuance of other peDate: 6o-- %S �� SEE ATTACHED SITE SKETCH
The issuance of this permit by He th Department in no way guarantees thrmits. The permit holder is responsible for checking with appropriate gomming bodies in meeting their requirements. This
site is subject to, revoation the 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 accordance
with the atached system layout
ISSUED TO: _ Ali h6k<ta - PROPERTY LOCATION:Z�_/a
SUBDIVISION LOT #
Facility Type: C]' New ❑- xpansion ❑ Repair
Basement?
El No Basement Fixtures? El Yes No
Type of Wastewater System" (Initial) Wastewater Flow: _0, GPD
(See note below, if applicable ❑) � �
Zin 1 '�c-Ane-64_ (Repair)
Installation Requirements/Conditions Number of trenches '—
Septic Tank Size IQHt) gallons Exact length of each trench So feet Trench Spacing:LFeet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: inches
Maximum Trench Depth of: 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: h. TDM vs. GPM inches below pipe
Aggregate Depth: T� inches above pipe
Conditions: Z2 _ inches total
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.
**If applicable: / understand the ryrtem type speciled is different from the type specified on the app/icadon. / accept the specifications oil 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 then is a change in ownership of she site. This
construction Aumon:aton is subject to compliance with the provisions of the Laws and Rules bur Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State A �/ Y � � Date: G !V-- fit
Construction Authorization Expiration Date: /_ 155 -Z3
NTE# ) 8- S- 4 .130
Permit # 2-19 6-0
Harnett County Department of Ynblic Health
Site Sketch
Ne i t se -�
�� PROPERTY LOCATON:—[� IT_� Q QII 6 L N
ISSUED TO: SUBDIVI ON LOT #
Authorized State A t� Date:
on,
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: )4T -r-'4 -V ?�-IS
Address: Date Evaluated:
Proposed Facility: iS:-V Design Flow 1.1949):.3Ub
Location of Site: Property Recorded: Er -
Water Supply: ,,--,,� ElPublic[]E Individual Well
Lr
Evaluation Method: Auger BBoring El pit ❑ Cut
Type of Wastewater: 9 -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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
1, L
L
5t_
ZZ -4a
c,GI
��
30 2
th1
•j5 .�
8-z6
JX -CA
Description Initial Repair System Other Factors (.1946):
System Site Classification (.19481y:
Available Space (.1945) Evaluated B}S , y
System Type(s) Z'fl Others Present:
Site LTAR