IPACHTE# — 37 3fS Harnett County Department of Public Health 28597
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONE94"114$
ISSUED TO:Ca,� lh,-�, SUBDIVISION LOT # 3
NEW fr REPAIR ❑ EXPANSION ❑
Type of Structure: -25 '
Proposed Wastewater System Type: 27'w2w ._
Projected Daily Flow: 3 C --a GPD
Number of bedrooms: --� Number of Occupants: max
Basement ❑Yes 0 No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: OYes ❑ No ❑May e required based on final location and elevations of facilities
Type of Water Supply: ElCommunityPublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Five years
❑ No expiration
Authorized State G Date: I I — Z3 —I S SEE ATTACHED SITE SKETCH
The issuance of this permit 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 requirements. This
site is subject to revocation a 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 Rules .19SO, .1953, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met Systems shall be installed in accordance
with the a ached system layout
ISSUED TO: /Ri — tL PROPERTY L0(ATION:eiW /WR /411
SUBDIVISION LOT # 3
facility Type: D FT New ❑ Expansion ❑ Repair
Basement? ❑ Yes E?Bo Basement Fixtures? ❑ Yes 1x10
Type of Wastewater System' ZS°/z QPbuLcTe)D �r_rn`ar_ (Initial) Wastewater Flow: 3<o 0 GPD
(See note below, if applicable ❑)
26"L n.Gbv zrz, (Repair)
Installation Requirements/Conditions Number of trenches c
Septic Tank Size JOO a gallons Exact length of each trench (¢C7 feet Trench Spacing: ! Feet on Center
Pump Tank Size a gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: IL -113 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. TDM vs. GPM
A
inches below
pipe
Aggregate Depth:
Z
inches above
pipe
Conditions: .40 /0.22T
1JaJSrP/ 4 Ya &U.3 (.
lL
inches
total
—Z.
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: /understand the system type specified iJ different from the type speciffed on the application. / accept the rpea6catiana 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
lonstruction Nemomanon is subject to compliance with the provisions of the laws and Rules for Sewage treatment and Disposal and to the conditions of this permit )CC nl lnlnCU 31IC MCll.n
Authorized State Date: I1-2 S —f S
Construction Authorization Expiration Date: I A —LS — -ZZ)
NTE# 3'I 358 Permit # 224S79-7
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:,";4/4N8 �1�S
ISSUED TO: COn�jyt �dY�a� TSG SUBDIVISION LOT # 3_
Authorized
3j G 5P y ° ao
Flo'
, )qqo
Date: //— Z3—/S'
Old Si i C X16 d 2 4-o
-iJS:794,C (4- b�-3
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 (^* P - c�
Address: Date Evaluated: n�W>'
Proposed Facility:Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method:❑ A -Boring ❑ Pit ❑ Cut
Type of Wastewater: f; -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
Mineradogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
s'5
lJ
V
5L
Nt bt N3rt-
3
C -SMS
o. Z
ft -
( o
AIX.
,1
-3
Description In4.7
Repair System Other Factors (.1946):
System Site Classification ted B ):
Available Space (.1945) Evaluated By:
System T e(s) Y'� Others Present:
Site LTAR