IPACHTE# ,�=s=3s-�7r Harnett County Department of Public Health 28271
Improvement Permit
A building permit cannot be issued with only an provement P rmit
PROPERTY LOCATIO : GIl�f .�tG�'/�o 1fd
ISSUED TOO-�2e.�leei �Ly{/G' � SUBDIVISION :?�'�-rtia ,� r e / LOT # `7
NEW Q REPAIR 1:1, EXPANSION ❑ Site Improvements required prior to onstruction Authorization Issuance:
Type of Structure: h S`1. CY 7_
Proposed Wastewater System Type:
Projected Daily Flow: Ju U GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes [?'No/
Pump Required: ❑Yes 2 No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
Five years
❑ No expiration
Authorized State Agent:: X 2,� 4 1,- -- ,Ae /Y Date: Y Cts SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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. \ j n
ISSUED TO: C�-�e�eiyr=/d4PROPERTYLOCATIO:
SUBDIVISION zL��a� C's-c(✓;.nS LOT # -7
Facility Type: IJ�, New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Q5-7. ke� v c`t `6� f f��,, , (Initial) Wastewater Flow: G G GPD
(See note below, if applicable ❑) n
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size Iva d gallons Exact length of each trenchQp 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: inches above pipe
Conditions: 1euA- 1:.1 -lel 0/�r"4_ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 specifled on the application. / accept the specifications ofthispermIt
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site Dian. Dlat or the intended use chances. The Construction Authorization shall not be transferred when there is a rhnnoe in nwnnrchin of tha city Thic
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:
�I— Z.? /V Date: �!/ u/Zc
t�'
Construction Authorization Expiration Date: #6 2-c20
HTE# 3577J—
Permit # a � ;Z-7
Harnett County ]Department of 1-1�-tblic Health
Site Sketch
f �� PROPERTY LOCATON: l`aIJ'e� f,`7%f
ISSUED TO:—W��Jer Je log �, p v �- SUBDIVISION LOT # 7
c
Authorized State Agent- Date: 1118/ L °l -r
t-o.'� r 1--C v 0,-,
Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
Property ID:
On -Site Wastewater Section
Lot #:
File #:
SOIL/SITE EVALUATION
Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: f
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Property Size:
Location of Site:,_,/ Property Recorded:
Water Supply: o Public❑ Individual ❑ Well
A 'ng
❑ Spring ❑ Other
Evaluation Method: ❑ ger Bo ❑ Pit ❑
Cut
Type of Wastewater: LJ Sewage ❑ Industrial Process
❑ Mixed
P
R
O
F
SOIL MORPHOLOGY
OTHER
I
.1940
.1941
PROFILE FACTORS
L
Landscape
Horizon
.1942
E
Position/
Depth
.1941
.1941
Soil
1943
.1956
.1944
Profile
#
Slope %
(In.)
Structure/
Consistence
Wetness/
Soil
Sapro
Restr
Class
Texture
Mineralogy
Color
Depth (IN.)
Class
Horiz
& LTAR
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): 1f
Available Space(. 1945) Evaluated By: �^-
System Type(s) F- " ,t Others Present:
Site LTAR 2
a - yo
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): 1f
Available Space(. 1945) Evaluated By: �^-
System Type(s) F- " ,t Others Present:
Site LTAR 2