IPACHTE #/ll —5-- ,��sy Harnett County Department of Public Health
28559
Improvement Permit
A building permit cannot be issued with only an Improvement Per it
/J PROPERTY LOCATION: fhfZA)
ISSUED TO: C V*Lh0acl � SUBDIVISION / ij {z LOT # L
NEW CTS REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System T pe: ol-T Z4 -VV&
Projected Daily Flow: GPD
D /
Number of bedrooms: Number of Occupants: max
Basement []Yes o
Pump Required: O es ❑ No ElM!yJbe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 0 Pu blic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
LTJ five years
❑ No expiration
Authorized State Ag—�G /' (q, (rp, Date: /�`3 -7 — / SEE ATTACHED SITE SKETCH
The issuance of this permit byjbil1a tl� Department m no way guarantees the issuance of other permi . The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation i1 a ssite 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 .1958, .1952, .1954, .1955, .1956, .1957, .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
ISSUED TO: PROPERTY LOCATION: R ZZ-' 5r- /-Z6
SUBDIVISION aA640 ee-C-k—/f% LOT # Z3
Facility Type: O'New [?No
Type
11 Repair
Basement? ❑ Yes No _ Basement Fixtures? 1:1 Yes L7 No
Type of Wastewater System** * GF+ U
(See note below, if applicable ❑) 7
/ 4 n sly ZS% q4% (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size _/00_ gallons Exact length of each trench 7qO feet
Pump Tank Size 106 gallons Trenches shall be installed on contour at a
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of.. ZZ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Wastewater Flow: 2GPD
Trench Spacing: ` Feet on Center
Soil Cover. —4; --Inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
Z inches total
**If applicable: / ondemtand the tyttem type rpecifed it different irons the type rpecifed on the app/icaGon. / accept the Jpecipcationr o/this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization u subject to revocation if the site plan, 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 AIIACHLD SITE SKETCH
Authorized State A cat: -f A Date: i O— %—! S�-
a
Construction Authorization Expiration Date:
HTE# /S — 5--- 3W95 `i Permit # 2' 9-55-97
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:�d ZZ/ F—/44 rlv�G—�/L/>
ISSUED T0: SUBDIVISION LOT # l:5
Authorized State Apfn—t: e--' ' Date: /6--7 —/ 5�
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: 4� Date valuated: /V ye- Y r
Proposed Facility: N Design Flow (.1949): 'i V-0�
Location of Site: Property Recorded:
Water Supply:Public❑ Individual ❑ Well
Evaluation Method: ager Boring ❑ pit ❑ Cut
Type of Wastewater: wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope Yo
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Stmcture/
Texture
.1941
Consistence
Mineralo
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
�t
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): F77
AvailableS ce(.1945) Evaluated By: T),
System Type(s) 7 f'S- Others Present:
Site LTAR + K