IPACHTE# t� S -3%3Z3 Harnett County Department of Public Health 28585
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
nn a� 2 PROPERTY LOCATION,: J< I 4 /J S%.C1c 1�,.t? e'i,
ISSUED T0: �•R l7�l�rBan �� aJGI SUBDIVISION % r At, 5 LOT #
NEW Z REPAIRRD 0 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF••'a�
Proposed Wastewater System Type:
Projected Daily Flow: 7 GPD
Number of bedrooms:Number of Occupants: ��imax
Basement []Yes
Pump Required: []Yes ❑ No Ila e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community PT' ❑ Well Distance from well feet Permit valid for. 2rlive years
Permit conditions: ❑ No expiration
Authorized State Agl ?� !/ Date: //— 4 —!S SEE ATTACHED SITE SKETCH
The issuance of this permit b Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requiremenu. This
site is subject to revocation t e 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 canstmctio s and installation requirements of Rules .1950..1953, .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:/ .4. `.le Z46L, LOCATION:,�fr78f
SUBDIVISIONj 2 A loth'. LOT #
Facility Type: C�ob E'1 New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2lo
Type of Wastewater System** ;7 -.5' -'IA rZ12-1V CTLC13A—, (Initial) Wastewater Flow: --- GPD
(See note below, if applicable ❑) /
Z� lLx�/�lNT--&A.�e (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size �D_ gallons Exact length of each trench /Zy feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: �_ inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: k TDH vs. GPM
Conditions:
Trench Spacing: l feet on Center
Soil Cover. 47 --inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
�e inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type rpeciled it different from the type spedled on the application. / accept the speci6c26nr of this permit
Owner/Legal Representative Signature: Date:
This Construction Anchormen 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
concoction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Ag Date: //- 6 -/9—
(onstruction Authorization Expiration Date: i - & . 7y,-)
HTE# / S-- s'- 3-7-3 z 3
Permit # 295s95 -
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: <5e /7e5 cJ 1,Z4
ISSUED TO:J` • /^lg rp � ��5 SUBDIVISION % i2 i%0/gj, ✓ LOT #
Authorized State Ag�l�/J i Z fiti�h Date: //— is —/3
v
•IS
5t2 1-7 8 9
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Applicant: aD ate Evaluated: fv'
Proposed Facility:
j -(%=JJ Design Flow(. 1949):
Location of Site:
Water Supply:Public❑
Property Recorded:
Individual ❑ Well
Evaluation Method:
uger,g ❑ Pit ❑ Cut
Type of Wastewater:
l
�7—B,oprinSewage ❑ 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/
Calor
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Hotiz
I
L_7°w
v—Zo
AL GAAX'J
71-6
o• 2Z
SL
A
zz qs
C.L.
L-37
4Z
xL
( V
ko"
H
Description Initial Repair System Other Factors (.1946): x
S stem Site Classification (.1948):
Available Space( 1945) Evaluated By:
System Type(s)) Others Present:
Site LTAR • c(