IPACHTE#_/ S C_353 7q Harnett County Department of Public Health
28225
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONS
ISSUED T0: SUBDIVISION�'GfS� LOT #_
NEW PA-IlkElEXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: IS% 6202: � �
Projected Daily Flow: (a2Z - GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes No
Pump Required: Oes ❑ No ❑ May equired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Z Public ❑ Well Distance from well feet Permit valid for:five years
Permit conditions: ❑ No expiration
Authorized State A 1 V ate: L_ "GK —15 SEE ATTACHED SITE SKETCH
The issuance of this permitby ea th Department in no way guaranies the issu nce of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation i a 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: G PROPERTY LOCATIONA �5:'�e�& C' Z' —
SUBDIVISION ��!' LOT #
Facility Type: 2 --'New ❑ IE4pansion ❑ Repair
Basement? ❑ Yes ET' No Basement Fixtures? ❑ Yes Er o
Type of Wastewater System** urn v6 (Initial) Wastewater Flow: �� GPD
(See note below, if applicable FI)
s- ) Z5cZw (Repair)
Installation Requirements/Conditions / Number of trenches —ia�- N
Septic Tank Size gallons Exact length of each trenc�� feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. /'-_;) /tom 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: ft. TDH vs. GPM inches below pipe
Aggregate Depth: Z inches above pipe
Conditions: 17, 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: l understand the system type specified is different from the type speciped on the applicatiom l accept the spec/fications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect 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 ent: Lz"Date: 7- '1-1 15 -
Construction
Construction Authorization Expiration Date: 2-2 `-t Z0
HTE# /S�— 5--S S�y Permit # 2 O ZZ 5
Harnett County]Department of Public Health
Site Sketch
PROPERTY LOCATON:,lcfp
ISSUED TO: SUBDIVISION S ✓ LOT #
Authorized State A t: Date: Z--2`1 -- i S'
0
M
0
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:� y,�/�—�'.1 S
Address: / �, V/r Date Evaluated: %r
Proposed Facility: Design Flow (.1949): :({<
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:ger oring ❑ Pit ❑ Cut
Type of Wastewater: ET 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
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
l
si
Z_"
115 -3d
SL
v-y�
GC.—
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P�
yD`"
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c
jJ10
3
L
-zY
si kfv_
LOV
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): r
Available Space (.1945) Evaluated
System Type(s) Others Present:
Site LTAR