IPACHTE# /���= 3ZZ°S— Harnett County Department of Public Health
Improvement Permit 27594
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIO
ISSUED TO: nP A SUBDIVISION LOT # 1
NEW Z_ REPAIR ❑ EXPANSION ❑
Type of Structure: 5(•�.>
Proposed Wastewater System T pe: t c:'
Projected Daily Flow: _0 GPD
Number of bedrooms: 3 Number of Occupants: (max
Basement ❑Yes Ello —
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No L1ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 0 Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
21 ve years
❑ No expiration
Authorized State Agent,"— _ ��" /.rn.(' Date: f 0 � �_�1 � SEE ATTACHED SITE SKETCH
The issuance of this permit by the H� 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 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, ASS, .1956, .1957, .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: 2& "f PROPERTY LOCATION- z %
SUBDIVISION LOT #
Facility Type: 11 New expansion E Repair
Basement? ❑ Yes 2 No Basement Fixtures? ❑ Yes L9 No
Type of Wastewater System" Z!;"°01a Pr_-nuMff)� (Initial) Wastewater Flow: 5610 GPD
(See note below, if applicable ❑)
25`016' 0 U T"zva .7Z,5 /-.-- (Repair)
Installation Requirements /Conditions Number of trenches 7—
Septic Tank Size /000 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench IM feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: ZZ inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: _ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: L inches above pipe
�_ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 Lonstruction Authorization is subject to revocation it the site plan, plat, or the intended use changes. the Lonstructmn 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 Age 2Z�" Date: J 0 I-- t 3
Construction Authorization Expiration Date: f 0 2 -- i
HTE# 13 3,zz,0�;' Permit # J'75 J I
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: 141V A e-, SUBDIVISION LOT r.
Authorized State AgenfL , Date:
Kl v�
CX
C I;r
fo
ta;
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: Date Evaluated: 7'-
Proposed Facility: °-t Design Flow(. 1949): a,�Z
Location of Site: Property Recorded:
Water Supply: 3- ublic❑ Individual ❑ Well
Evaluation Method: ❑.•A'uger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑- ^Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
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
ZthIN.)
.1956
Sapro
Class
.1944
Restr
Horiz
7 z
5 •�'.
�.'tfZ_
3L j
z
t,.
o
Ail-rr-I'
I� yz
Sct
Cs� -,,5• �'.
32-3 �.�'
�
5 v
3v
571_
y,'
611
Description
Initial
system
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present.
Available Space (.1945)
System Type(s)
r4
'z-
Site LTAR