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IPACHTE # ! -`s " _ 3 S % Harnett County Department of Public Health 28230 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED T0: ����� 1� f� SUBDIVISION 7 LOT # _7 NEW 2--- REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S F-- Proposed Wastewater System Type: 2-55% 12d —es Projected Daily Flow: 3Ca� GPD Number of bedrooms: -Z� Number of Occupants: _max Basement ❑Yes C�No Pump Required: ❑Yes ❑ No [? Ma e required based on final location and elevations of facilities Type of Water Supply: ❑ Community 1Z Public ❑ Well Distance from well feet Permit conditions: Permit valid for: 21 -five years ❑ No expiration Authorized State Age .: U/ Date: 5 " S — f s SEE ATTACHED SITE SKETCH The issuance of this permit by t ealth Department in no way guars tees 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 t e 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: PROPERTY LOCATION: 5 lj ��/32� �ec� /�✓ / SUBDIVISION LOT # Z- Facility Type: E�� New�Expansion ❑ Repair Basement? E] Yes No Basement Fixtures? ❑ Yes I�� No Type of Wastewater System** c414-0 (Initial) Wastewater Flow: (See note below, if applicable ❑) /r/ a/C e,- L C--/ / (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size /000 gallons Exact length of each trench L feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. Z ->/" inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: —T(-© GPD Trench Spacing: --,/-_ Feet on Center Soil Cover: �_ inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: Z inches above pipe /L inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: I understand the system type speciped is different from the type specified on the application. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This rn-mirtinn dnthnri7atinn is mhiart to revnration if the site plan. nlat 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 gent: / Date: -3 - 3 -1 '3— Construction Authorization Expiration Date: -3--3-2-0 HTE# /Sr 5 Permit # Harnett County Department of Public Health Site Sketch PROPERTY LOCATON:;5� /5%�/ A I -e,6 ISSUED TO: C vda �' ��CSa��� SUBDIVISION LOT # 2 Authorized State Aperit— -°� (,9-rJIC �-Date: 3 3 •-- (�'� @a-4t� r -p 'fD E=, - v�C 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: (2� Address: Date Evaluated: 2-27—,rr-- Proposed Facility: _$f=—VD Design Flow (.1949): Location of Site: Property Recorded: Water Supply: / uvlic❑ Individual ❑ Well Evaluation Method: EYAuger Bort ❑ 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 .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz 2- 2K -1{p SCC A.-- o- zo -tea '5�4_ -SC-- L 6 is L Cv, Al� 31 cLc ~S✓s� Z4.3* Jk-Ie L . 3 Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Available Space(. 1945)Evaluated By: System Type(s) Others Present: Site LTAR