IPACHTE#JO -s=x3780 Harnett County Department of Public Health 2 5 8 4 0
Improvement Permit
A building permit cannot be issued with only an Im rovem nt P7)
ISSUED TO: kl 2.~ e PROPERTY LOCATIO r S .
NEW REPAI ❑ SUBDIVISION LOT # 7,r'
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F t{,fYi-0 `
Proposed Wastewater System Type: ~2S`Ja ~2c(v ;«i r
Projected Daily flow: -360 GPD
Number of bedrooms: 3 Number of Occupants: C max
Basement ❑Yes PIN o
Pump Required: ❑Yes FL~No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ?""Public ❑ Well Distance from well
Permit conditions: feet Permit valid for. 8' ive years
❑ No expiration
Authorized State Agent: /PLY c:..
Date: a2Ql SEE ATTACHED SITE SKETCH
The issuance of this permit b VHeal6 Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with a
s ppropnate governing bodies in meeting their requirements. This
site is subject to revocation d 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, .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: PROPERTY LOCATIJ: ~ ~a!
V
SUBDIVISION
Facility Type: 0 LOT #
tom' New ❑ Expansion ❑ Repair
Basement? ❑ Yes [KNo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System'" c 5- ~uc 1~ E f
(See note below, if applicable (Initial) Wastewater Flow: -:36 0 GPD
9tJ.4;'V' (Repair)
Installation R uirements/Conditions
Number of trenches 3
Septic Tank Size CO gallons
Exact length of each trench (60 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of 16-2y inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Trench Spacing: Feet on Center
Soil Coverer inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregat~p inches above pipe
inches total
,sue-( S V flyl~ 'k r
**If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the specidcati= of this permit
Owner/Legal Representative Signature:
This LonsWdion Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when tDhereeis a change in ownership of the site. This
Construction Authontation is subject to cum lance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this ermi
P t 1 SEE ATTACHED SITE SKETCH
Authorized State Agen~ .
Date: Cf
Construction Authorization Expiration DatA-? a /cc
HTE# /O -J-- 2..3 7~-o
Harnett County Depailment of
Site Sketch
Permit # 2, 5-F yG
I'itblic Health
PROPERTY LOCATON: 1
ISSUED T0: crl C i~tc/ SUBDIVISION e a
_LOT
Authorized State Agent
l Date: J' S'!o
fr
r
il Q. G~ UZ10r~ d 6
Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:11(1
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public ❑ Individual ❑ Well
Evaluation Method: ❑ Auger Boring ❑ Pit ❑
Type of Wastewater: ❑ Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
cut
Mixed
P
R
O
F
1
SOIL MORPHOLOGY
OTHER
L
.1940
.1941
PROFILE FACTORS
Lo xhicape
Horizon
E
#
Poeation/
Slope 'X
Depth
(In.)
.1941
Struchaw
.1941
Cor hence
.1941
Soil
wetness/
.1943
Soil
.1936
S"ro
.1944
Retr
Profile
Class
Texbm
1 °
Cola
IN.
Class
Horiz
LTAR
,
Description
system
Site classification (.1941):,"'
Evaluated By:,~;,
Others Preseat: