IPACNTE# - S- 3 z3� Harnett County Department of Public Health 28564
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
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� 9/ � JAG PROPERTY LOCATION: 2 /3n `
ISSUED T0� ,/y9%Q' 'ejq SUBDIVISION fli7c�dn.� = t�e—>� LOT # i
NEW REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 'y°romo ft143;:l Irr�
Projected Daily Flow: 3(o.a GPD
Number of bedrooms: �' Number of Occupants: max
Basement []Yes LTJ No
Pump Required: ❑Yes ❑ No Ma required based on final location and elevations of fatalities
Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for: 3 Five years
Permit conditions: ❑ No expiration
Authorized State Date: /O —/!n / 3 SEE ATTACHED SITE SKETCH
The issuance of this permit the Department in no way guaran es 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 Butes .19So, .1951, .19S4, .1955, .1956, .19S7, .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: 3�a u,./�f- PROPERTY LOCATION: (t*-
SUBDIVISION .6lxd!3v,_ p,! -L LOT #16C
Facility Type: LTJ New �❑l xpansion El Repair
Basement? 11 Yes No Basement Fixtures? El Yes L d"No C�'
Type of Wastewater System" Z'sY (Initial) Wastewater Flow: 3f` GPD
(See note below, if applicable ❑) �
Z�la Qgfi y 1 Wzwr�— (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench 10 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 7 H Winches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: --- inches above pipe
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
/2 inches total
**If applicable: l understand the srstem type specified /s different from the type specified on the app/icatioa / accept the tpeaficationr of this permit.
Owner/legal Representative Signature: Date:
This Construction Authoriation is 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 cumplianm with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit att AI IALII lilt MRILn
Authorized Sta ent: Date: /a -/4
Construction Authorization Expiration Date: /c - ib - 2d
HTE # S— S— 31 ice$ Permit # Z 8 S(o y
Harnett County Department of Public Health
Site Sketch
/ ��/CIF� �/PROPERTY LOCATON: 3
ISSUED T0: Oa24 /C.tJ /�2;UC- SUBDIVISION /� LOT # 1 Ld
Authorized State A t <�— P'IDate: !G-16 —/"
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Ap
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:0
Type of Wastewater:
Sheet:
Property ID:
Lot #:
File #:
Code:
�_^ Date Evaluated:
ZP9 Design Flow (.1949): 3&Z Property Size:
Property Recorded:
E3rublic❑ Individual ❑ Well ❑ Spring
Auger Boring Pit ❑ Cut
2 -Sewage ❑ Industrial Process ❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure)
Texture
.1941
Consistence
MineralogyColor
.1942
Soil
Wetness/
.1943
Soil
Depth IN.
.1956-
Sapro
Class
1944
Restr
Horiz
D -'zo
5L
�
ciC11 I,,
SI
,
3.1
3
'
C -I $
sL LOy
firs Dan/
Ir(r46
c'Cr
S•
Description Initial Repair System Other Factors (.1946):
System / Site Classification (.1948) :�
Available Space(. 1945) Evaluated By:
System Type(s) Others Present:
Site LTAR f