IPACHTE# /� S37GSI Harnett County Department of Public Health 28667
Improvement Permit
A building permit cannot be issued with onl an Improvement Permit
PROPERTY LOCATION/--ZO .tom
ISSUED TO:XZA!!±2 JZ /j<vcPseu SUBDIVISION LOT #
NEW fV REPAIR [ice EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: >kz
Proposed Wastewater System Type,ac�th
Projected Daily Flow: affil 45ffi%
GPD
Number of bedrooms: Number of Occupants: 8 max
Basement Dyes No
Pump Required: ❑Yes ❑ NoMai, a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
21ive years
❑ No expiration
Authorized Stat Vth,
10 Date: / Z — Z S — / S� SEE ATTACHED SITE SKETCH
The its ace of Th Nealth Department i 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 rev.ite 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
Reouired for Building Permit
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorpuated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: G lith, —.a D /0 2160% � PROPERTY LOCATIONX/9i 'Oez
SUBDIVISION LOT # Z
Facility Type: Z New 11 Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2 No
Type of Wastewater System** Zs%d29�:(J'a ��iS%f'��- (Initial) Wastewater Flow:_ GPD
(See note below, if applicable ❑) a
Installation Requirements/Conditions Number of trenches
Septic Tank Size l7 gallons Exact length of each trench D feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contoura a Soil (over: inches
Maximum Trench Depth of: /—Z—>/4inches (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. TON vs. GPM
Aggregate Depth:
Conditions:
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.
—� inches below pipe
2 inches above pipe
/ inches total
**If applicable: / understand the swam type specified it different from the type spedhed on the application. / accept the rpedi5crtions of dif 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 at 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 Disponi and to the conditions of this permit licit AI IALFILU lilt )REIN
Authorized State /(�Jh / ent: Date: 12 — 2 5 — r
Construction Authorization Expiration Date: / -7 _2') — Zil!)
NTE# /57- S"^ 5-7 615-1 Permit # /7-9(2 (sw 7
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: e2 /SZ6 r-a-,.Io5 XA
ISSUED TO: t/i%/�2ir ��(I c�tn) SUBDIVISION 21 LOT #
Authorized State
W1
J
Date: 12
SR KbO J�sAii�
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: �-�
Address: Date Evaluated: I7 --J-7- (S—
Proposed Facility: Design Flow(. 1949): IYO)
Location of Site: ,,� Property Recorded:
Water Supply: LI rublic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑Pit r-1 cut
Type of Wastewater: B -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
Mineralog
.1942
Soil
Wetness/
Calor
.1943
Soil
-Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
e, 317
3o 3Z"
't ti
3
7,3
L
�-tQrd
G L
Repair System Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: