IPACHTE# 1s" 31`115 Harnett County Department of Public Health 28239
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATION:-t._I?at
ISSUED TO �� /e..r�o.Je SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Im rovements required prior to Construction Authorization Issuance:
Type of Structure: f"='h
Proposed Wastewater System Type: Z5Z
Projected Daily Flow: �' GPD
Number of bedrooms: Number of Occupants: 9 max
Basement ❑Yes No
Pump Required: ❑Yes ❑ NoCil Ma required based on final location and elevations of facilities
Type of Water Supply: EJ Community Lif Public ❑ Well Distance from well feet Permit valid for: FIS' ive years
Permit conditions: ❑ No expiration
Authorized State Ag :: y -it �i Date: 5 _ f o - i ;�— SEE ATTACHED SITE SKETCH
The issuance of this permit by the alth 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 Permio
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: C.C�-, y �/J-� � �, PROPERTY LOCATION: 'Za,YI�A
� SUBDIVISION _ LOT #
E
Facility Type: New ❑ Expansion ❑ epair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes El"No
Type of Wastewater System**2`v�Q r2�'�s� ctt�t�f, Srrs —_ (Initial) Wastewater Flow: 90ay GPD
(See note below, if applicable ❑)
Z� j11y�Z� P/55 (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size gallons Exact length of each trench /572�' 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: 30 — 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: /Z. 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 systemtype specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
Thic rmtnirtinn Authnriratinn is tnhiert to revnration if the site plan. 012L 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 Age!2= C Date: 3—tom
Construction Authorization Expiration Date:
HTE# /S'—b' - 'K'1 4'— Permit # 2 8
Harnett County Department of niblic Health
Site Sketch
_ PROPERTY LOCATON:
ISSUED TO: 91' �/iQ-tb-a.� �y�eN2 SUBDIVISION
Authorized
411)
LOT # 11,
Date:
ZZs
\A 13"""
d
1�M
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: D
Address: Date Evaluated: '�� —C
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ER'rublic❑ Individual ❑ Well
Evaluation Method:❑,,<u_ger Boring ❑ Pit ❑ Cut
Type of Wastewater: .'Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
Ej Spring
❑ Mixed
❑ Other
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 (1N.)
.1956
Sapro
Class
.1944
Restr
Horiz
�r�j3
L 7,
b -�Y
2Y-Yg
�L�
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): "5
Available Space (.1945) / " Evaluated By:
System Type(s) Others Present:
Site LTAR
V