IPACHTE# IS--S---S721 Z Harnett County Department of Public Health 28572
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:gg4WEd=
ISSUED_T0�oi.�b�c¢ll n e nr v SUBDIVISION LOT # L�
NEW fX/REPAIR ❑ rl� EXPAFI ION ❑ Site Improvements required prior to &nstruction Authorization Issuance:
Type of Structure: aim
Proposed Wastewater System T e: ?,D��n
Projected Daily Flow: ya GPD
Number of bedrooms: ��.� Number of Occupants: max
Basement []Yes 1711 ��
Pump Required: []YesElNo Ld-Mayhw- required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Cd" Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
21lve years
❑ No expiration
Authorized State Ag i Date: /O— /1 —/i SEE ATTACHED SITE SKETCH
The issuance of this perm¢ y e Health Department in no way guarantees the issuance of other permits. The permit holder u responsible for shucking with appropriate governing bodies in meeting their requirements. This
site is subject to revorati 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 pmvuions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permjt)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be instilled in accordance
with the attached system layout.
ISSUED T0: ZvqA� 404k6 PROPERTY LOCATION: dYJU48 /l a tcT.o S 2S�
Facility Type:
SUBDIVISION ✓3 //C// Q LOT # 15
w _��xpansion El Repair
Basement? 11 Yes 5� A7C�
E Basement Fixtures? f� Yes No
Type of Wastewater System** ?�e /V7)VVZ/L-S;Fp!:S (Initial) Wastewater Flow: qhd GPD
(See note below, if applicable ❑)
Zo'Y/oi7 (Repair)
Installation Requirements/Conditions Number of trey es _-J)
Septic Tank Size ae d gallons Exact length of each trenchdO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Ze•iriches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
51
Trench Spacing: L Feet on Center
Soil Cover._ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z— inches above pipe
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.
/L inches total
**If applicable: / amderr amd the system t}pe rpeciled is different from the type spedfed on the application. / accept the rpeafcatioar of this permit
Owner/Legal Representative Signature: Date:
This Cameroun Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when them is a change in ownership of the site. This
Construction Authorization h subject to compliance with the provuions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State A k.�[> Date:
Construction Authorization Expiration Date: / 0
HTE#/S =s = 3-7u 2 Permit # 7L
Harnett County Department of INiblic Health
Site Sketch
ISSUED TO:
Authorized !
PRO PFRTY IOfATON-f54 JQq 5k Ig /[,N
LOT #
Date: /6' — / 9 — 15 —
ilk
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I�JXLJ 5v<!S�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: �
Address: All Date Evaluated:
Proposed Facility: Design Flow(. 1949): L(t,&:)
Location of Site:111"
,/ Property Recorded:
Water Supply: L] Public❑ Individual ❑ Well
Evaluation Metbod: Auger Bort El Pit F1 cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
th (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Description Initial Repair System Other Factors (.1946):
System �' Site Classification (.1948):
Available S ace (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR