IPACHTE# / Harnett County Department of Public Health 28706
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: w t1L. cstM.
ISSUED T0: SUBDIVISION J7 ile t wo }oma LOT # 33
NEW Z' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ✓F 9 'i7Y4/3
Proposed Wastewater System Type: zkr7c row.
Projected Daily Flow: 460 GPD
Number of bedrooms: y Number of Occupants: 8 max
Basement []Yes Imo
Pump Required: []Yes ER10 ❑ MM be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community WJ Public ❑ Well Distance from well feet Permit valid for:
Permit conditions:
VorFive years
❑ No expiration
Authorized State Agent,/� c R/ Date: / //9 f•2Pf b SEE ATTACHED SITE SKETCH
The issuance of this permit the Xealtl� Department 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 the site pian, 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 proAsiam of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permjt)
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 he met. Systems shall be installed in accordance
with the attached system layout
ISSUED T0: PROPERTY LOCATION: l>J'. I k 1, a c, r 2d,
SUBDIVISION .. Zta tw.+wa',:r LOT# 33
Facility Type: -F/J ZNew ❑ Expansion ❑ Repair
Basement? ❑ Yes fZ' No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System*" ar % kc k St, rLice (Initial) Wastewater Flow: 0 GPD
(See note below, if applicable ❑)
,257 (Repair)
Installation Requirements/Conditions Number of trenches —7
Septic Tank Size /OUO gallons
Pump Tank Size gallons
Pump Requirements: h. TDM vs.
Conditions:
Exact length of each trench 80 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of stn inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
GPM
Trench Spacing: y Feet on Center
Soil Cover. b inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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: / understand the system type specified /s different from the type specified on the app/icanim.. / accept the rpecifi ationc o/ 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
(onsWction Authonzation is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions at this permit 5[e of In1.n8U 3118 M11.111
Authorized State Agent//ec/f% Date: //9/()/6
Construction Authorization Expiration Date: / //50 Av a2/
HTE# /s'S •377.7,.2, Permit # a87 Q -
Harnett County Department of lNiblic Health
Site Sketch
q PROPERTY LOCATON: W'l Xd.
ISSUED T0: %�/ 1{'.t Cons�r.c� cv _ SUBDIVISION LOT # 33
Authorized State Agent
��C�� Date:
Mwker 5�-
I /80e
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOI/SITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: l �17 to
Proposed Facility: Design Flow (.1949):
Location of Site:�' Property Recorded:
Water Supply: / 04ublic❑ Individual ❑ Well
Evaluation Method: Auger BBoJi'ng ❑ Pit ❑ Cut
Type of Wastewater: Id Sewage ❑ 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
(In.)
SOIL MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth
.1956
Sapro
Class
.1944
Restr
Horiz
pf s
L1641
CC (lr
1A, t1r dP
S�
ti
✓l �f%
Description Initial Repair System Other Factors (.1946)-
system
946):S tem Site Classification (.1948):
Available Space (.1945) Evaluated Byf
S stem Type(s) Others Present:
Site LTAR f