IPACHTE#f5'S — 37`/72 Harnett County Department of Public Health 28698
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONS/�% ,�,Ls.,.��C/. lel,
ISSUED TO:i9 d".a �� SUBDIVISION /— i m , % LOT #
NEW d REPAI ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:-+�
Proposed Wastewater System Type: 2 '5% TZAR, ' �'i-d�—
Projected Daily Flow: --'�COa GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes leo
Pump Required: ❑Yes ❑ NoIce M;y be required based on final location and elevations of facilities
Type of Water Supply: [I Community �� Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Age ' A>sftNrtST '� Dare: — / [� SEE ATTACHED SITE SKETCH
The issuance of this permit by e th Department in no way guaranties the issuance of other pertain. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if 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 .1958, .1952, .1954, .1955, ASK .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall he installed in accordance
with the attached system Ilayo-ut /
ISSUED TO: , &O(XO,, 9VC17'
—Z,1)C PROPERTY LOCATION:
SUBDIVISIONLOT # 3
Facility Type: �� F—'f NewExpansion 11Repair 77—
Basement? 1:1Yes No Basement Fixtures? 1-1Yes Ld No
Type of Wastewater System" ZS% 7A1 0LT7 h-3 2a%1-ar--.:>' (Initial) Wastewater Flow: , iOifi GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenefies 3
Septic Tank Size 16 00 gallons Exact length of each trench /ot3 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Pump Requirements: ft. TDM vs.
Conditions:
Maximum Trench Depth of inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
6— inches below pipe
�_ inches above pipe
/Z inches total
"If applicable: / undersand the system type specified is different from the type specified on the app/ication. / accept the specilcabonc of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization u subject to revocation if the site plan, plat or the intended use changes. The Construction Authorisation shall not be transferred when there is a change in ownership of the site. The
construction Authorization is
Authorized State
with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: / —/ (�2
Construction Authorization Expiration Date:
HTE# J5 — S —3 -7'-f-7 Z Permit # ? 66,
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
_ PROPERTY LOCAT(
-L/vG SUBDIVISION
Authorized State
WDAJ5 -x D,z
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: 15A4G
Address: Date Evaluated: Z-)7�'
Proposed Facility: 1451� Design Flow (. 1949):3/o i
Location of Site:�� Property Recorded:
Water Supply: DPublic❑ Individu4i ❑ Well
Evaluation Method: El Auger Boring Q Pit ❑ Cut
Type of Wastewater: [aiSewage ❑ 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 (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
G -1tP
<
lxa,.t A -k r
lit:
Z
n•zs�
o 'r2
tLP'A —
Co2t-iirN{9
ct^1+'S
Description Initial Repair System Other Factors (.1946):
System / Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Typo(s) Others Present: �r
Site LTAR 3 • 3