IPACHTE# O�"-�-3�� Harnett County Department of Public Health 28463
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
% PROPERTY LOCATION: qZ..
ISSUED TO L Q_6G SUBDIVISION (=�d-/t_r� --5 LOT # 2
NEW 2 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z-Z'bin ex —
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: �' _ _max
Basement ❑Yes No
Pump Required: 0 les ❑ No ❑ MMayW required based on final location and elevations of facilities ��
Type of Water Supply: El Community Lir Public ❑ Well Distance from well feet Permit valid for. E� Five years
Permit conditions: ❑ No expiration
Authorized State ent:: Date: i - —Z 5` SEE ATTACHED SITE SKETCH
The issuance of this permit byh 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 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: C D ,� PROPERTY LOCATION:
/NewExpansion
SUBDIVISION l�vs �� fes*--� LOT # -Facility Type: ''� �El Repair
Basement? 1:1 Yes No Basement Fixtures? E] Yes LF No
Type of Wastewater System (Initial) Wastewater Flow: J610 GPD
(See note below, if applicable 89P-�(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 00 gallons Exact length of each trench 20 feet Trench Spacing: Feet on Center
Pump Tank Size loff 6 gallons Trenches shall be installed on contour at a Soil Cover:inches
Maximum Trench Depth of: 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
Conditions:
inches below pipe
Aggregate Depth: Z-. inches above pipe
A7-- 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: / understand the system type specified is different from the type speciped on the application. / accept the specifIcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Dian, 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 Stateent: Date: —2
Construction Authorization Expiration Date: :? — — Z�U
HTE# 15--
a
Permit # 22Y
Harnett Connty Department of 1"tiblic Health
Site Sketch
/I/ PROPERTY LOCATON: Z
ISSUED TO: 62L, �""' f � 5t?3`. SUBDIVISION 54 --' LOT # �—
Authorized State A Date: % — 77 f
�}ru3da
6&7'L) A'r LYZ
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:
Address: Date Evaluated: 4'1 S
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: E'Public❑ Individual ❑ Well
Evaluation Method: • Auger Boring ❑ Pit ❑
Type of Wastewater: []—Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
Cut
❑ Mixed
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Cy'' z `a ✓ Others Present:
Site LTAR �(
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
tl .Sy'
S(
U 4
6-
ci
v o -Ll
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Cy'' z `a ✓ Others Present:
Site LTAR �(