IPACHTE#157-9 3-737$ Harnett County Department of Public Health 2 8 6 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION• /V/ 2n
ISSUED T0:/cz�n� grz._- •;:r0L SUBDIVISION W Plr+e G LOT #
NEW Q( REPAIR f�� EXPANSION ❑ Si a Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 25% fZeQrUCA24-),)
Projected Daily Flow:GPD
Number of bedrooms: 3 Number of Occupants: max
Basement []Yes L� No �
Pump Required: ❑Yes ❑ No f3"Ma ee required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LAS Public ❑ Well Distance from well feet Permit valid for. RT-F-ive years
Permit conditions: ❑ No expiration
Authorized State III ent- e<_ ��'� Date: / 7�� / SEE ATTACHED SITE SKETCH
The issuance of this permit by alth 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 if me 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 .1958, .1957, .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: &rr+..e"ra.r PROPERTY LOCATION: e1x JY/'1;— iOjv-j/5 a7i1e A4 lep
^l SUBDIVISION LOT # y
Facility Type: � e� 21'/New ❑ Expansion ❑ Repair
Basement? El Yes No Basement Fixtures? El Yes i�
Type of Wastewater System** 26011. PjrbVLT7-D17 niSy s%G�_ (Initial) Wastewater Flow: 3(an0 GPD
(See note below, if applicable ❑)
25-0,6 iiA4We_TTaY (Repair)
Installation Requirements/Conditions Number of trenches `i
Septic Tank Size /O ey gallons Exact length of each trench 96 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ZO inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
Trench Spacing: r Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
G inches below pipe
Depth: inches above pipe
a2//. 1'2— inches total
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.
**If applicable: / understand the ryrtem type rpedfed it different from the type rpedfed on the applitaGon. / arcept the rped1leadom of thir permit
Owner/Legal Representative Signature: Date:
This Construction Authorization u subject to revocation if the site phn, plat or the intended use changes. The construction Authorization shall not be transferred when there u 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 n osal and to the conditions of this permit 5tt AI lil Nit aR[Rn
Authorized State Agent Date: I -z— g - t �—
Construction Authorization Expiration Date: / Z— E! - ZU
HTE# Permit # ZR(es)
Harnett County Department of 1'ciblic Health
Site Sketch
PROPERTY LOCATON: �(/V//t✓s /!/riY�iL�`/Is�
ISSUED TO: SUBDIVISION LOT # /Z
Authorized State Arent" L Date: /2 —If
jt � C QAj7xw q/„ 4-c Obi i?l
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIGSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: �� G.�y'1�
Address: Date Evaluated:
Proposed Facility: �.�D Design Flow(. 1949): 3�&O
Location of Site: Property Recorded:
Water Supply: 04�Ublic❑ Individual ❑ Well
Evaluation Method: E;-RGger Borjng [Pit ❑cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File d:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
SOIL MORPHOLOGY
OTHER
1
.1940
.1941
PROFILE FACTORS
.1942
L
Landscape
Horizon
E
Position/
Depth
.1941
.1941
Soil
.1943
.1956
.1944
Profile
#
Slope %
(In.)
Structure/
Consistence
Wetness/
Soil
Sapro
Rear
Class
Texture
Mineralogy
Color
Depth IN.
Class
Horiz
& LTAR
3•Y2
3
t -yr.
?7-wo
x
! -
3$•
3
a�
8�r
4t
v
p, `t
3i,
y
diJL r113rrJ%�
SL t.,
Gx�tUNC�
Itt�3 b
Jc• L 0%-
+_.x5c"
.
-
�
sr
La-
Description Initial epair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s)) Others Present:
Site LTAR