IPACHTE# / //-5-_7gIS -0 Harnett County Department of Public Health 28105
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: V G SUBDIVISION 72-, 4w X %4 LOT # .3 6
NEW 2 REPAIR ❑ , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: .SF O (� y X 6 G
Proposed Wastewater System T pe: o2S"u Qe�pUCj `.v4 ✓1.�
Projected Daily Flow: yA GPD
Number of bedrooms: Number of Occupants: U max
Basement [--]Yes 2 f;10
Pump Required: ❑Yes E2/ko 0 M be required based on final location and elevations of facilities
Type of Water Supply: El Community L�'f Public ❑ Well Distance from well feet Permit valid for: E!�_Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: /° y SEE ATTACHED SITE SKETCH
The issuance of this permit by 4e Health 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 TO: C0&f1",-„': . ci^ PROPERTY LOCATION:
SUBDIVISION ,e d LOT # -It
Facility Type: J'F A 2-INew ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System — cS7, 4uJ'. -, Zfile, (Initial) Wastewater Flow: ado GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements /Conditions Number of trenches 3
Septic Tank Size /0013 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench /00 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. ig inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: % Feet on Center
Soil Cover: (0 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: &I 4r� ^ I C k Q C.,Jc 'J /-
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.
inches below pipe
inches above pipe
inches total
* *If applicable: I understand the system type specired is different from the type specified on the application, l 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. SEE ATTACHED SITE SKETCH
Authorized State Agent- /(-- Date: f611.2 yqg
Construction Authorization Expiration Date: is /l2� %%
HTE# /�/- s-.3y15"()
•
Site Sketch
Permit # 0281 (�S"
PROPERTY LOCATON:
ISSUED T0: SUBDIVISION LOT # 38
Authorized State Agent: <�, _ �, . �` /�i~ Date: C ., y
i
3s s
,{ -J, ky �)�, x --- -
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:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Sheet:
Property ID:
Lot #:
File #:
Code:
Date Evaluated: 9 1 g a I ` ", e
Design Flow (.1949): Property Size:
Property Recorded:
Public❑ Individual ❑ Well El Spring
['f Auger Bor ng r_1 Pit ❑ Cut
C; Sewage ❑ Industrial Process ❑ Mixed
❑ Other
R
I p
O
F SOIL MORPHOLOGY
I .1940 .1941
L Landscape Horizon
E Position/ Depth .1941 .1941
# Slope % (In.) Structure/ Consistence
Texture Mineralogy
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
System Type(s)
c,
Arle
Ll
-e
d -ao
v - z
Lr
r// j✓h��
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948): ��
Evaluated By:P3 ^^
Others Present: r
Available Space (.1945)
System Type(s)
Site LTAR
Ll