IPACH T E # /s=ue—�� Harnett County Department of Public Health 28454
Imurovement Permit
A building permit cannot be issued with only an Improvement Permit
7y PROPERTY LOCATION;/ /c/ Ss� h�T.jC?,cK� f�
ISSUED TO: 6OtYt A K -74— �7� :t=2Ld SUBDIVISION ) LOT #
NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: .5�
Proposed Wastewater System Type: Z.7Z
Projected Daily Flow: "� GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 2rNo
Pump Required: ❑Yes ❑ No 2/Ma - be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. C Five years
Permit conditions: ❑ No expiration
Authorized State Agent- -�-� A�✓�t .a n Date: e/, Z /`�` SEE ATTACHED SITE SKETCH
The issuance of this permit by tl ealth 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 taws 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 systemlayout
ISSUED T0: Cid/�� 7'•`� c PROPERTY LOCATION:
Z`2—ZSSS i�
2--New
� SUBDIVISION :5T��`T"T/i) LOT #
Facility Type: �—� L� New �❑ Expansion ❑ Repair
Basement? EJ Yes No Basement Fixtures? El Yes P No
Type of Wastewater System** Z'S -Ole;- (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size Od O gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench fQ feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. Z V% ' inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
'Z inches above pipe
fZ— inches total
**If applicable: /understand the system type specified is different /rom the type specified on the application. / accept the .specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Plan. Plat, or the intended use chanties. The Construction Authorization shall not be transferred when there is a change in ownershin 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 -—r--- �r r��✓��c_�r'� z Date: Z
Construction Authorization Expiration Date:
H T E # Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: SUBDIVISION --5i2-71,f5;" LOT # �Z—
Authorized State Age Date: 49—
is
f1A 66P L-r� �
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: _p.,
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: O Public❑ Individual ❑ Well
Evaluation Method: [J-A-u—ger Boring ❑ Pit ❑ Cut
Type of Wastewater: EI—Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): r2-5Available Space (.1945) Evaluated By:
System T e(s) - Z "i' Others Present:
Site LTAR y
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
Wetnessi
Color
1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
h
1
L7
p— t
6
s
6 2
13 21
3
L 32
a- Z
.54r
�Y• ��
��-
� �2�5,('
42°' 7.6'4`®'
. tii
fL
zz��u
GL-
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): r2-5Available Space (.1945) Evaluated By:
System T e(s) - Z "i' Others Present:
Site LTAR y