IPACHTE# I s-- i5-- A -7.i f y Harnett County Department of Public Health 28579
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ L \ ` / PROPERTY LOCATION :�K�HL/7 ��a +��L T CJ an /2n.4ISSUED TOcJ�LT U �JJ SUBDIVISION LOT #
NEW 121 REPAIR ❑ EXPANSION ❑
Type of Structure: MLoDJ LJ& ,
Proposed Wastewater System Type: 2SroA,
Projected Daily Flow: 5fe 6 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 0 No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes ❑ No Ma required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E7' Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
O'Five years
❑ No expiration
Authorized State ent: Z 0rV—JVjk2-140v'yDate: /0- 30 — / !1— SEE ATTACHED SITE SKETCH
The issuance of this permit Health Department in no way guarantees the issuance of other permits. The permit holder u 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 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 shag be installed in xcordana
with the attached system latent,teou/
ISSUED TO: KOf4FifiJ" PROPERTY LOCATION: shJq f72±L' 15 61 613 too
� SUBDIVISION LOT #
Facility Type: Yvl.o g?::! �a L��f New ❑ Expansion ❑ Repair
Basement? El Yes No Basement Fixtures? ❑ Yes C�o
Type of Wastewater System** 25%313Pu c -r r -u s-1 s caw— (Initial) Wastewater Flow: '�s�o d GPD
(See note below, if applicable ❑)
Z5°loRL(iarL— S e Ham— (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank SizeV/ 0 D gallons Exact length of each trench / 2 O 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: 20 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 inches below pipe
Aggregate Depth: 2— inches above pipe
Conditions: d -a niaw T 0*-- 3.Z.1—r= =. -'5 aW i 12-- inches total
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.
**If applicable: l understand the system type specified it diKerent from the type specified on the application. l accept the speri6ca6onr of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization 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 compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI IALMLU lilt )RLILH
Authorized State ADate: r 6 - 3 o — t s—
Construction Authorization Expiration Date: 1 0 • 3 a -o
HTE# 1S'S'3"731L4 Permit# 2-8572
Harnett County Department of Pablic Health
Site Sketch
PROPERTY LOLATON:T92 l /7 -SIS C/tea ✓�
ISSUED TO: K � �% �Z� SUBDIVISION
LOT #
Authorized State Agd: Date: /0 30 - / 5
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: W 7L
Address: Date Evaluated:
Proposed Facility: F^-0-16 Design Flow(. 1949): 31e -j
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:[g-Aag-ei Boring ❑ Pit ❑ Cut
Type of Wastewater: '—'❑-age ❑ 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
(int)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Stmcture/
Texture
.1941
Consistence
Mineralog
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
1•Z
L2
o -p
SL
t- tb
su
.P
Mi' , J-1
Y
q c
i `
o .z'6
sr.
Nt rr
mt SIPr-
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):P5
Available S ace (.1945) Evaluated By:
S stem T e(s) h Others Present: ��
Site LTAR •?Y