IPACHTE#hp's-37y Harnett County Department of Public Health 28823
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
/
PROPERTY LOCATION:
ISSUED TO�v/l�?1
�
hc!✓�P�cs-a'll�]
SUBDIVISION � is e*r��_
LOT # �/7
T�
NEW f0
REPAIR 11
i
EXPANSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
-5
Proposed Wastewater System Type:"%r7/Ga?yc9z
r 1)
Projected Daily Flow:
b
GPD
Number of bedrooms:
Numbe of Occupants: P max
Basement ❑Yes
g No
Pump Required: ❑Yes
❑ No
be required based on final location and elevations of facilities
-'
Type of Water Supply:
❑ Community
-Ma
f� Public ❑ Well Distance from well feet Permit valid for.
Five years
Permit conditions:
❑ No expiration
Authorized State A t:: U' Date: Y - 7— /im SEE ATTACHED SITE SKETCH
The issuance of this permit by, Nealth Department in no way guarantees the isswnce of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject ro revontionsillihe 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 provision 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, .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: 4e44—f-i PROPERTY LOCATION: ,J
/ SUBDIVISION I LOT #
VZ -
Facility Type: �S Cir New � Expansion ❑ Repair
Basement? ❑ Yes Ef N Basement Fixtures? ❑ Yes Ld No
Type of Wastewater System" va-- db 7<Z-C�Z gRhyy� z (Initial) Wastewater Floss. _��aQ GPD
(See note below, if applicable ❑) 7
, t/ 7 16 a' d 1?C-bt (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size '/'66
ADI) gallons Exact length of each trench �� feet Trench Spacing: a Feet on Center
Pump Tank Size '660 gallons Trenches shall be installed on contour at a Soil Cover. Inches
Pump Requirements: h. TDM vs.
Conditions:
Maximum Trench Depth of: Zy inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
5/-v✓3 /-3
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: Inches above pipe
inches total
WATER LINES (IN(LUDING IRRIGAtION) MUST BE 10FT. 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 specAed is different from the type specified on the app/intron. / accept the specifications of this pemlit.
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
construction Authorization is subject to compliance with the provisions of the laws and Rules (or Sewage Treatment and Disposal and ro the conditions of this person. Stt AI IRLMtU Slit MtILM
1
Authorized State Age y c`Q Date: `/— �7
Construction Authorization Expiration Date: el —7 /
HTE# &--S7-3e2-7I Permit # 2002-3
Harnett County Department of .Public Health
Site Sketch
y� PROPERTY LOCATON: D //
//(/
ISSUED TO: d/i eZ 14-?Jwel( SDi i SUBDIVISION z LOT #
Authorized Stateent�Z Date: r/ — 7
v
IF T l yr ,h r. � SS (1y7 /�S� bJJal/<� /"--p
`7 .��
13, I /�eyL,LtaC,�,,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant: A-0-1
Address: Date Evaluated: 44-16 _q_c _IL
Proposed Facility: 5^-Q p Design Flow(. 1949): :¢,D Property Size:
Location of Site: rgW.0, 2S� Property Recorded:
Water Supply: C Public❑ Individual ❑ Well ❑ Spring
Evaluation Method: 0—Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: sewage ❑ Industrial Process ❑ 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
Minemlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
11 z
L-$�
-zo
CO--
GK..
cI
us tNo
f2's,
Description Initial
Repair System
Other Factors (.1946):
I
S stem
Site Classification (.1948).
Available Space( 1945)Evaluated
System T e(s) 2
Others Present:
Site LTAR