IPACNTE#&S - S-- S77ciG Harnett County Department of Public Health 28688
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
!!// PROPERTY LOCATION . 2 Vfllc 3 ti
ISSUED T0- /u-444 %94V5 c�vr%it?s.uc CgaiUJYn SUBDIVISION rKr�< lis /C.s<eo _ LOT # JZ
NEW 1 REPAIR ❑ � EXPANSION �— Site Improvements required pnor to Construction Authorization Issuance:
Type of Structure: _
Proposed Wastewater System Type:
Projected Daily Flow: (20 GPD
Number of bedrooms: �� Number of Occupants: max
Basement ❑Yes Q No
Pump Required: []Yes ❑ No [3 M!o a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 0 Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
Five years
❑ No expiration
Authorized Stateent::�/ C— ' Date: Z- S -/& SEE ATTACHED SITE SKETCH
The issuance of this permit 1 , each Department in no way guaranties 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 i 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 m compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .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 T0:/�7�(442 -Oeks. , PROPERTY LOCATION:
0 SXJYyR� is
SUBDIVISION _/�Tt'Z'-S V�%G%rrrQ LOT # /,5
Facility Type: 6 C�rNew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes BID
Type of Wastewater System*w ZS% (Initial) Wastewater Flow: 3C-0 GPD
(See note below, if applicable ❑)
15-70/ % (Repair)
Installation Requirements/Conditions Number of tr ches 3
Septic Tank Size /406 gallons Exact length of each trench gcO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 7-2 , /o inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover:i� inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
Z inches above pipe
ZZ,— inches total
**If applicable• l onderstand the system type specified is different from the type specified on the application. / accept the specifications of thin permit
Owner/legal Representative Signature: Date:
This Construction Authonzation 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
tommuction Authorization is subject to compliance with the provisions ofthelaws and Rules for Sewage Treatment and Disposal and m the conditions of this permit ltt AIIALNLU lilt IRLILH
Authorized State Date: Z - t' -/ (�
Construction Authorization Expiration Date: Z— V - Z/
HTE# 377` (o
Permit # ZS65,B5
Harnett County Department of Public Health
Site Sketch
/] PROPERTY LOCATONzstJTf8 /> —Z%'W "
ISSUED TO: Ls �1 /G SUBDIVISION 24>zn-T�5 SAV&:ri LOT # /
Authorized State Ag!!! Date:
42
f�-rv-wJ CT
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: a t A'06 -s
Address: ° _ / Date Evaluated:
Proposed Facility: `—'�� Design Flow (.1949y
Location of Site: Property Recorded:
Water Supply: [3 Public[] Individual ❑ Well
Evaluation Method: [' Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth W.
.1956
Sapm
Class
.1944
Restr
Horiz
I
L y
0 -le
SL
SC(,.
^i f...,,P
3Z
L
L-�_�
o•w
SC
ICc_L�arP
Z0 -`1z
oa, to,t�.A,S,C.
1�—
• • �•c1�n.
3G-3`da-•
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Description Initial Repair System Other Factors (.1946): _
System Site Classification (.1948): .5
Available Space( 1945) Evaluated By:
System Type(s) Zo'S Others Present:
Site LTAR • if