IPACHTE# /'�_ S=3-7169 Harnett County Department of Public Health 28567
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
�t0� i -r i(c . s PROPERTY LOCATION:�IN"3% R f e TL
ISSUED TO SUBDIVISION %� L LOT # a4
NEW REPAIR 0 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:'L Dila 1ZZIV 4x—z�
Projected Daily Flow: -25 (g.0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement []Yes IL No ��
Pump Required: ❑Yes El No L�f M e required based an final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Date: /�p / �� SEE ATTACHED SITE SKETCH
The issuance of this permit ealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for cheding with appropriate governing bodies in meeting their requirements. This
site is subject on 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 m conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .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
ISSUED TO: ,& PROPERTY LOCATIONZUY3) GUJi 121,�s
SUBDIVISION /�74-aPaP�_.Psi.:r LOT # BIZ
Facility Type: � EZ New 1_1'� Expansion ElRepair
Basement? ElYes No Basement Fixtures? 1-1Yes YJ No
Type of Wastewater System * 25� ?I (Initial) Wastewater Flow: 3taZ) GPD
(See note below, if applicable ❑)
l (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /O?a ) gallons Exact length of each trench _ _ 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: 24-7193 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4" 36' above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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
2, inches above pipe
inches total
**If applicable: / ondeatand the system type rtoeaffed is different from the type specified on the app/icadon. /accept the spedfcadoar of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revntation 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
Lonstmehon 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 Stt AI IALMtU Sllt SKtILH
Authorized State A Date: f&
Construction Authorization Expiration Date: / U 2{r2�
HTE# 4 �-- 3.71% Permit # i 895&?
Harnett County Department of Public Health
Site Sketch
_ PROPERTY LOCATON: c5>, / Y 3
ISSUED TO: 35/4706r1f ill AAlt,5 / SUBDIVI�SIONQ e=1. IW LF LOT # i 3e
Authorized State Ago � Z /hv� �9. t.� Date:
61
00 ^
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: jT))-e-40'
Address: Date Evaluated:
Proposed Facility: 7DrAZd> Design Flow (.1949): gt' 7
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method:[] Auger Bon it ❑ Cut
Type of Wastewater: Lfj Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ 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 IN.
.1956
Sapro
Class
.1944
Restr
Horiz
I.L,-
12- 48
.SGV
I �;qay,(�.
o= '' sa'
• 3
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): P 5
Available Space(. 1945)20� Evaluated By
System T s"L. Others Present:
Site LTAR