IPACHTE# a P 3211 Harnett County Department of Public Health
ImDrovement Permit 27579
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 41 _ 1 ns s !Z
ISSUED TO•. ee, r,,Wo /� At -'� ''� SUBDIVISION �� LOT # _
NEW C REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 05% '100L t Z s°
Projected Daily Flow: 3 GPD
Number of bedrooms: Number of Occupants: (P max
Basement ❑Yes Q fir"
Pump Required: ❑Yes ❑ No Q May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Z Public ❑ Well Distance from well feet Permit valid for. eFive years
Permit conditions: ❑ No expiration
Authorized State Agent ✓° Uhu A4yq q Date: `- ,�,—r 3 SEE ATTACHED SITE SKETCH
The issuance of this permit by t Vjf Ith Department in no way 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 revocation if 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 T0: ..yt�+ PROPERTY LOCATION: /'Y4i <`� sr�--
SUBDIVISION LOT # T
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑Ifo
Type of Wastewater System" 25% 03:#�UCT -WIN ta 4-0 ?5'96 (Initial) Wastewater Flow: 3 6Z GIRD
(See note below, if applicable ❑)
i Va 2 S ./ (Repair)
Installation Requirements /Conditions Number of trenches -2-
Septic Tank Size C00, gallons
Pump Tank Size /000 gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench !c 0 feet Trench Spacing: Feet on Center
Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 3 "' inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -1/4" 36" above the trench bottom)
in all directions)
GPM inches below pipe
Aggregate Depth: 7— inches above pipe
° L-- inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: / understand the system type specified is different from the type specified on the application. /accept the specifications 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. Jtt AI IALHU) Jilt MILH
Authorized State A nt: Date:
Construction Authorization Expiration Date:
HTE# 13 5-- 31// 0 Permit # 27 '5-'7)
Harnett County Department ®f Health
Site Sketch
tad
JID
tp
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:
Address: L +Daevaluated:
Proposed Facility: Design Flow(. 1949):
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method:. Auger Boring ❑ Pit ❑
Type of Wastewater: E?Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
d5
Property Size:
❑ Spring ❑ Other
Cut
❑ Mixed
P
R
O
F
I .1940
L Landscape Horizon
E Position/ Depth
# Slope % (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
Site LTAR
-31v
i
30
lJ
7
r
Zb Y-
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System T e(s)
2 �"�'
Z zf'
Site LTAR